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Home My WebLink About20160283.tiff SITE SPECIFIC DEVELOPMENT PLAN AND USE BY SPECIAL REVIEW (USR) APPLICATION FOR PLANNING DEPARTMENT USE DATE RECEIVED: RECEIPT # /AMOUNT # /$ CASE # ASSIGNED: APPLICATION RECEIVED BY PLANNER ASSIGNED: Parcel Number 0 9 6 5 _ 2 4 _ 1 _ 0 0 _ 0 0 3 (12 digit number - found on Tax I.D. information. obtainable at the Weld County Assessor's Office, or www.co.weld.co.us) Legal Description part of the south half , Section 24 , Township 5 North, Range 63 West Zone District: AG , Total Acreage: 12.8+/- , Flood Plain: No , Geological Hazard: No Airport Overlay District: No FEE OWNER(S) OF THE PROPERTY: Name: 70 Ranch Work Phone # Home Phone # Email Address: 8301 E. Prentice Avenue, Suite 100 Address: City/State/Zip Code Greenwood Village, CO 80111 Name: Blue Grama Land Corporation c/o Seth Vanderlinde or Jarrett Morrison Work Phone # 405-200-1255 Home Phone # Email jmorrison@rimrockmidstream.com Address: 501 South Coltrane, Suite A s.vanderlinde@rimrockmidstream.com Address: City/State/Zip Code Edmond, OK 73034 Name: Work Phone # Home Phone # Email Address: Address: City/State/Zip Code APPLICANT OR AUTHORIZED AGENT (See Below: Authorization must accompany applications signed by Authorized Agent) Name: Anne Best Johnson/Tetra Tech Work Phone # 720-864-4555 Home Phone # Email Anne.Johnson@tetratech.com Address: 1900 South Sunset Street, Suite 1 -E Address: City/State/Zip Code Longmont, CO 80501 PROPOSED USE: Use by Special Review in the Agricultural Zone District for an Oil/Gas Support and Service Facility. I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners9lust be included with the application. If a corporation is the fee owner, notarized evidence must be included dicating that the signatory has to legal authority to sign for the corporation. Signature: Owner or Authorized A ent Date Signature: Owner or Authorized Agent Date Blue Grama Land Corporation Riverside Station USR Questionnaire 1. Explain in detail, the proposed use of the property. The oil and gas market is continuing to expand in Weld County. The applicant, Blue Grama Land Corporation (Blue Grama), proposes to use a 12.8 +/- acre parcel as a Truck Unloading and Oil and Gas Support Facility as defined in the Weld County Code. The proposed Riverside facility will collect crude oil produced on the 70 Ranch and neighboring properties via gathering lines and trucks that are already accessing the property. Material collected will then be transported in a 12" pipeline to the Lucerne East Facility under USR15-0037. At the Lucerne East Facility, the crude oil will be transferred into the 20" Grand Mesa Pipeline to Cushing, Oklahoma. The 12" pipeline will be regulated by FERC and designed to meet DOT standards. This 12" pipeline is exempt from needing a USR under the current Weld County Code Standards. Blue Grama has commitments from key industry producers to transport crude oil from Weld County to Cushing, Oklahoma. From Cushing, the resource is piped for refinement before being sent to other domestic and international destinations. A communications tower that will not exceed 35' is planned for the facility as illustrated on the attached USR application map. The site is located approximately 7,000' east of Weld County Road 69 and approximately 10,000' north of the intersection of Weld County Roads 69 and 50. The site is located in part of the South of half of Section 24, Township 5 North, Range 63 West of the 6th P.M., Weld County, Colorado. The facility access will be from WCR 388. The facility will operate 24 hours a day, 7 days a week, 365 days a year. This site is designed to be unmanned. For safety of the facility and the pipelines, the facility is monitored 24/7/365 from the Edmond, Oklahoma control center. Staff will visit the site for maintenance and inspection. The site will be monitored by surveillance cameras. Blue Grama anticipates that initially up to 20,000 barrels of product will be delivered to the facility by trucks each day. In the future, 60,000 barrels of product may be delivered to the facility via future gathering lines. As additional gathering lines are constructed to the facility, the number of trucks may be reduced. All out-bound material will be transported via pipe to the Lucerne East facility. The site will be secure and fenced with chain link and will include a swipe or keyed access. The unloading area will be fenced separately from the residual of the property. The unloading area may be open during daylight hours and access will be controlled via card or key-pad entry system for evening or weekend access. Access to the facility will be controlled by an automated access system. Lighting will be for security purposes and shall not spill onto adjacent properties. Access to the tank and laydown area will be secured 24/7 and accessed via swipe or key system. Traffic generation, site access and the proposed site improvements/structures are discussed in further detail elsewhere in this questionnaire. Cattle guards will be placed at the facility entry/exit points to keep cattle from entering the facility. There are other permits that Blue Grama will be submitting to the State of Colorado for this project. If requested, copies of these permits may be provided to Weld County. A copy of the Air Pollution Emission Notice permit application submittal are included with this USR Application submittal. A Secondary Containment and Unloading Pad Plan will be provided 30 days prior to construction of that portion of the facility, as applicable. 2. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 22 of the Comprehensive Plan The Weld County Comprehensive Plan has established Goals and supporting Policies that encourage responsible Oil and Gas development in Weld County. Below is a list of specific Oil and Gas goals followed by an explanation of how the goals are being addressed by this application. ❑ OG.Goal 1 : Promote the reasonable and orderly exploration and development of oil and gas mineral resources. ❑ OG.Goal 2: Ensure that the extraction of oil and gas resources conserves the land and minimizes the impact on surrounding land and the existing surrounding land use. OG.Goal 3: Prevent surface and groundwater contamination from oil and gas minerals exploration and extraction. The proposed Riverside Station is a new facility in an isolated area of Weld County experiencing increased oil and gas activities. The proposed facility will support the industry by transporting material produced in the vicinity to Cushing, Oklahoma where it is then transported to refineries for processing. This facility is designed to collect the produced oil from nearby wells via gathering lines and then pipe the material to the Lucerne Facility. It is estimated that 90% of the existing truck traffic will be eliminated from Weld County Roads by the development of this facility. The market has directed the need for this proposed facility. The facility will minimally impact the surrounding properties as the nearest residential structure is more than 7,000 feet to the west. Surrounding properties include unincorporated Weld County, oil and gas exploration, agricultural uses with some rural residential. The facility is surrounded by land owned by the 70 Ranch as well as the State of Colorado. Traffic generation and access will be discussed further in this application. Refer to the Drainage Report and Plan included with application materials. 3. Explain how this proposal is consistent with the intent of the Weld County Code, Chapter 23 (Zoning) and the zone district in which it is located. The application materials have been prepared according to the Weld County pre-application meeting held on July 17, 2015, and in conformance with Division 4 starting with Section 23-2-200 of the Weld County Code. The property is zoned "A" Agricultural and according to the Weld County Code, oil and gas support and service facilities are a Use allowed by Special Review in the Agricultural Zone District. Crude oil processing facilities are considered an oil and gas support facility supporting the submittal of this application for review. 2 Crude oil will be transferred into the 12" line that will connect the Riverside facility to the Lucerne facility. Once the material is transported from Riverside to Lucerne, the crude oil will be transferred to the 20" Grand Mesa Pipeline to Cushing, Oklahoma. The 12" pipeline will be regulated by FERC and designed to meet DOT standards. This 12" pipeline is exempt from needing a USR under the current Weld County Code Standards. 4. What type of uses surround the site (explain how the proposed use is consistent and compatible with surrounding land uses). The proposed facility has been designed to minimally impact the surrounding properties. The surrounding properties are in agricultural production with rural residential uses with 7,000 feet of the proposed facility. Surrounding properties include unincorporated Weld County, oil and gas exploration, agricultural uses with some rural residential. S. Describe, in detail, the following: a. Number of people who will use the site. b. Number of employees proposed to be employed at this site. This facility is designed to be unmanned. The facility will be visited by staff for maintenance and security purposes, however, staff will not be permanently employed at this facility. Up to 111 trucks will access the site in a 24-hour period. At this time, it is estimated that 90% of these trucks are already accessing the property. This proposed facility has the potential of reducing trucks on County Roads. Rather than exiting and entering the site several times during the day, the trucks will be able to use ranch roads to transport material to the facility vs. hauling material off-site. c. Hours of operation. Generally the site will be open from 7 am — 6 pm for trucking operations, however, the site will operate 24/7, 365 days per year. The Edmund control center operates 24/7 allowing continuous monitoring of the facility and pipeline for increased public safety, protection of the crude resource, and efficiency of delivery. d. Type and Number of structures to be erected (built) on this site. The following improvements/structures proposed to be located on site are listed below. It is important to note that the final dimensions and location of the equipment and structures will be determined with the final facility design and illustrated on building permits. The applicant has provided the best estimation of location and sizes of the equipment and structures for the USR application submittal. The general descriptions of these items are described below: ❑ Two 9,500 barrel tanks are illustrated on the USR Map. These tanks have been designed with primary and secondary containment structures. The tanks will be approximately 30 — 40' tall. 0 Covered truck unloading bays and staging area: Four covered units are planned. There will be a culvert structure under the bay to collect all crude should an accidental spill occur. There will be a hatch area to access and remove any collected material. The function of this area is to transfer material from the trucks to the Delivery Manifold. 3 o A Driver's Shack will be included in each lane for drivers to complete their Manifest documents. o Portable toilets with hand-sanitizer will be located in the bay area. o Instrumentation at the bay will identify the water and sediment content of the material. This facility will only accept merchantable crude oil. o Staging of one truck can occur at each bay. There is an overflow staging area designated on the USR Map. ❑ Facility Sump: The drain lines for equipment will be collected at this location. This is a collection point for all oil at the facility. • Booster Pump: This is the power source for the facility and will pressurize the crude oil from the tank entering the mainline pumps. ❑ Power Control Room (PCR): The switch gear and electrical equipment will be housed at this location. This building may be a manufactured structure permanent to the site. By including this in the USR application, the need for a Zoning Permit for a Mobile Structure is negated. ❑ Surveillance Meters: Crude flow will be metered in this area for line-balancing purposes. ❑ Launchers and Receivers: These pumps will pump the crude oil from the 9,500 barrel tanks into the 12" line to the Lucerne facility. Equipment called "Pigs" are used to check and clean out the lines. The area labeled "Launcher" is the launching area for then the pigs are needed. ❑ On-site transformers: This is the location where power will enter the site and be distributed for on-site activities only. The footprint illustrated on the application maps described the anticipated footprint. This is the general location of the facility. ❑ Office: There may be a mobile unit installed in the area illustrated on the submitted USR Map for use as a lab and/or an office. This building may be a manufactured structure permanent to the site. By including this in the USR application, the need for a Zoning Permit for a Mobile Structure is negated. ❑ Supportive equipment and incoming gathering lines: Some equipment will be linked to gathering systems from secondary companies who are connecting their production sites to this facility. The attached USR Map illustrates the out-bound line which will lead to the Lucerne Facility and the in-bound Rimrock Gathering Line. ❑ An outside lay-down yard is illustrated on the USR Map. This area will be used to store equipment needed for the construction of this facility as well as equipment that may be needed for the Grand Mesa Pipeline. 1 A future sign for the facility will not exceed 16 square feet in size and will not be greater than 6 feet tall. ❑ The traffic routes will be surfaced with native material or recycled base as illustrated on the USR Map. Aggregate materials such as pea gravel or larger gravel will cover portions of the site around the equipment areas similar to other facilities to reduce dust and weeds and allow easy maintenance and upkeep of the facility. • Typical lighting is illustrated on the submitted plans and shall be installed to not spill onto the adjacent land. Lighting will be directed to the equipment. ❑ Lightning suppressors will be incorporated into the site design. ❑ The facility will be fenced. The unloading bay area will be fenced separately. Fencing will be 6' chain link with 3' of barbed wire topping the chain link. An additional cattle guard fence 4 will be separated from the chain link fence by approximately 3 ' to allow weed management between both fences. The cattle guard fence (4-strand barbed wire) will allow adequate separation to protect the chain link fence. e. Type and number of animals, if any, to be on this site. Animals are not going to be kept on site. f. Kind of vehicles (type, size, weight) that will access this site and how often. It is anticipated this site will generate up to 111 trucks and 1 passenger vehicle per day with the majority of the trips occurring during daylight hours. The main access to the facility will be on a private road extending from Weld County Road 69. A dedicated truck entrance and truck exit into the unloading area are located off of the private 70 Ranch Road. Staff will access the residual portion of the site in passenger vehicles from the unloading area through a sliding gate. The access points have been designed to accommodate emergency vehicles. The applicant will reach out to the Platte Valley Fire Protection District prior to submitting the formal USR application. According to the Traffic Narrative, "the Blue Grama Riverside Facility will result in a reduction of about 100 trucks per day on CR 50, CR69, CR388 and other County roadways serving this area. Accordingly, the Blue Grama Riverside facility will beneficially impact area roadway operations and is viable from a traffic engineering perspective." g. Who will provide fire protection to the site. The property is within the Platte Valley Fire Protection District boundary. The applicant has provide information to the District as evidenced in application materials. Future collaboration between Blue Grama and the District is anticipated. h. Water source on the property (both domestic and irrigation). Water is needed for hydrotesting and dust control. i. Sewage disposal system on the property (existing and proposed). Portable toilets and hand-washing facilities will be provided for sanitary sewage disposal. j. If storage or warehousing is proposed, what type of items will be stored. Some outside storage of new pipe and facility-related equipment will be stored on site in the lay-down area. 6. Explain the proposed landscaping for the site. The landscaping shall be separately submitted as a landscape plan map as part of the application submittal. Landscaping is not proposed for the facility. Vegetation can be a fire hazard at these types of facilities. The detention facilities will be re-seeded for erosion control. The undisturbed areas will remain native. The remainder of the site, including the process areas, will be covered in road base, rock or other non- flammable aggregate material. These materials are most conducive to keep weed free. Stockpiles of topsoil 5 during construction will be seeded or covered to prevent blowing dust and to preserve the topsoil for use on site. 7. Explain any proposed reclamation procedures when termination of the Use by Special Review activity occurs. When termination of the facility occurs, the facilities will be removed and the land will be returned to its native state. 8. Explain how the storm water drainage will be handled on the site. Off-site flows will be routed around the site. On-site flows will be conveyed to on-site facilities/facility. The one-hundred year developed storm event will be released at the ten-year historic rate from the ponds. Additional details can be found in the Drainage Report attached with the USR application submittal. 9. Explain how long it will take to construct this site and when construction and landscaping is scheduled to begin. Blue Grama anticipates that it will take approximately 6 — 12 months to construct the site and are aiming to have the site functioning by mid - 2016. 10. Explain where storage and/or stockpiles of wastes will occur on this site. There will be no storage and/or stockpiles of waste on this site. 11. Please list all proposed on-site and off-site improvements associated with the use (example: landscaping, fencing, drainage, turn lanes, etc.) and a timeline of when you will have each one of the improvements completed. In addition to the response to Question 5d above, the following additional on-site improvements will be constructed at this location: ❑ Over-lot grading will be completed during the Winter, 2015 . Detention and drainage will be constructed after over-lot grading into Spring, 2016. 0 During construction, water will be used for dust suppressant as needed. ❑ Blue Grama is proposing temporary and permanent manufactured structures as illustrated on the USR Map submitted with application materials. A temporary construction trailer may be needed at a temporary site until grading can be completed. 6 Blue Grama Land Corporation 501 South Coltrane, Suite A Edmond, Oklahoma 73 034 June 15, 2015 Mr. Kim Ogle Ms Diana Aungst Weld County Planning 1555 North 17th Avenue Greeley, CO 80631 RE: Designation of Authorized Agent Dear Mr. Ogle: Blue Grama Land Corporation authorizes Jeff Butson, Anne Best Johnson and other representatives from Tetra Tech to be the Authorized Agents and point of contact for communications for all Weld County applications for Blue Grama Land Corporation and the Grand Mesa Pipeline. Blue Grama further authorizes Pat McMurry, Jarrett Morrison, Lance King and Seth Vanderlinde to execute necessary application forms as needed for application materials. Sincerely 6re -c-t-7 g(AK C/t Printed Name and Title f I Colorado Secretary of State Date and Time: 11/14/2014 12:02 PM Document must be filed electronically. ID Number: 20141693 614 Paper documents are not accepted. Fees & forms are subject to change. Document number: 20141693614 For more information or to print copies Amount Paid: $50.00 of filed documents, visit www.sos.state.co.us. ABOVE SPACE FOR OFFICE USE ONLY Articles of Incorporation for a Profit Corporation filed pursuant to § 7-102-101 and § 7-102-102 of the Colorado Revised Statutes (C.R.S.) 1 . The domestic entity name for the corporation is Blue Grama Land Corporation (Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.) 2. The principal office address of the corporation's initial principal office is Street address 3773 Cherry Creek North Drive (Street number and name) Suite 1000 Denver CO 80209 (City) (State) (ZIP/Postal Code) United States (Province — if applicable) (Country) Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) (City) (State) (ZIP/Postal Code) (Province— if applicable) (Country) 3. The registered agent name and registered agent address of the corporation's initial registered agent are Name (if an individual) (Last) (First) (Middle) (Suffix) or (if an entity) The Corporation Company (Caution: Do not provide both an individual and an entity name.) Street address 1675 Broadway (Street number and name) Suite 1200 Denver CO 80202 (City) (State) (7.IP/Postal Code) Mailing address (leave blank if same as street address) (Street number and name or Post Office Box information) CO (City) (State) (ZIP/Postal Code) ARTINC_PC Page I of 3 Rev. 8/5/2013 (The following statement is adopted by marking the box.) The person appointed as registered agent above has consented to being so appointed. 4. The true name and mailing address of the incorporator are Name (if an individual) Laughlin William G. (Last) (First) (Middle) (Suffix) or (if an entity) (Caution: Do not provide both an individual and an entity name.) Mailing address 3773 Cherry Creek North Drive (Street number and name or Post Office Box information) Suite 1000 Denver CO 80209 (City) (State) (ZIP/Postal Code) United States . (Province — if applicable) (Country) (If the_following statement applies, adopt the statement by marking the box and include an attachment.) • The corporation has one or more additional incorporators and the name and mailing address of each additional incorporator are stated in an attachment. 5. The classes of shares and number of shares of each class that the corporation is authorized to issue are as follows. The corporation is authorized to issue 1 ,000 common shares that shall have unlimited voting rights and are entitled to receive the net assets of the corporation upon dissolution. • Information regarding shares as required by section 7- 106- 101 , C.R.S., is included in an attachment. 6. (If the following statement applies, adopt the statement by marking the box and include an attachment) • This document contains additional information as provided by law. 7. (Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant legal consequences. Read instructions before entering a data) (If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.) The delayed effective date and, if applicable, time of this document is/are (mm/dd/yyyy hour:minute am/pm) Notice: Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the individual's act and deed, or that the individual in good faith believes the document is the act and deed of the person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic statutes, and that the individual in good faith believes the facts stated in the document are true and the document complies with the requirements of that Part, the constituent documents, and the organic statutes. This perjury notice applies to each individual who causes this document to be delivered to the Secretary of State, whether or not such individual is named in the document as one who has caused it to be delivered. ARTINC PC Page 2 of 3 Rev. 8/5/2013 8. The true name and mailing address of the individual causing the document to be delivered for filing are Laughlin William G. (Last) (First) (Middle) (Suffix) 3773 Cherry Creek North Drive (Street number and name or Post Office Box information) Suite 1000 Denver CO 80209 (City) (State) (ZIP/Postal Code) United States . (Province— ft'applicable) (Country) (If the following statement applies, adopt the statement by marking the box and include an attachment.) I I This document contains the true name and mailing address of one or more additional individuals causing the document to be delivered for filing. Disclaimer: This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice, and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy minimum legal requirements as of its revision date, compliance with applicable law, as the same may be amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should be addressed to the user's legal, business or tax advisor(s). ARTINC PC Page 3 of 3 Rev. 8/5/2013 a 4i#), Weld County Public Works Dept. S r -4 1111 H Street ACCESS PERMIT r,, r co P.O. Box 758 o c -�� Greeley, CO 80632 APPLICATION FORM L/C 't 9 Phone: (970)304-6496 Fax: (970)304-6497 Applicant Property Owner ( If different than Applicant) Name Jarre-t Morrison/Seth Vander inde Name 70 Ranch Company Blue Grama Land Corporation Address 8301 Fast Pren-ice Avenue, Sui-e 100 Address 501 South Coltrane, Suite A City Greenwood Vi ag6tate CO zip 80111 City Edmond State OK Zip 73034 Phone Business Phone (405) 200- 1255 Fax Fax E-mail E-mail jmorrison© rimrockmidstream . com or ♦ = Existing Access A= Proposed Access s.vande[Iinde(rimrockmidstream . com Parcel Location Sket The access is on WCR Private Road : 70 Ranch Road Nearest Intersection : WCR 69 & WCR 50 WCR388 WCR Distance from Intersection 10 , 000' Note, See access Parcel Number 0965-24- 1 -00-003 route attached to this Section/Township/Range 24 T5N R631/V .l, u form . Is there an existing access to the ro ert ?ci-. p p y . 'LYES NOD Number of Existing Accesses Road Surface Type & Construction Information Asphalt 0 Gravel ,'.L Treated 0 Other WCR Culvert Size & Type Materials used to construct Access Construction Start Date Finish Date Proposed Use QTemporary (Tracking Pad Required)/ $75 QSingle Residential/$75 0 Industrial/$ 150 Q Small Commercial or Oil & Gas/$75 QLarge Commercial/$ 150 QSubdivision/$ 150 Q Field (Agriculture Only)/Exempt Q 'cjUSR ORE QPUD () Other SE Is this access associated with a Planning Process? No ;. Required Attached Documents SE submitted previously - Traffic Control Plan -Certificate of Insurance - Access Pictures ( From the Left, Right, & into the access) Traffic Control and Certificate of Insurance to be submitted post approval . By accepting this permit, the undersigned Applicant, under penalty of perjury, verifies that they have received all pages of the permit application; they have read and understand all of the permit requirements and provisions set forth on all pages; that they have the authority to sign for and bind the Applicant, if the Applicant is a corporation or other entity; and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions, all Weld County ordinances, and state laws regarding facilities c aStruction. Signature_ -- ‘ Printed Name // 1Z l Date • C_. Jam.. 4151397 Pages : 1 of 8 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly Koppes , Clerk and Recorder . Weld County , CO Bfue Grama 9/21/2015 SURFACE LEASE AGREEMENT Riverside Station This Surface Lease Agreement ("Lease") is entered into and made effective this o?o? day of September , 2015 by and between Terminus North, LLC, a Colorado limited liability company with an address of 8301 E. Prentice Ave., Suite 100, Greenwood Village, CO, 801 11 ("Terminus North") and Blue Grama Land Corporation, a Colorado Corporation having an address of 3773 Cherry Creek Drive North, Denver CO 80209 ("Blue Grama"). Terminus North and Blue Grama may be referred to individually as a "Party" and collectively as the "Parties". The subject of this Lease is the following parcel (the "Blue Grama Lease Lands" or the "Lands"): 12.8 acres, more or less, in Section 24, Township 5 North Range 63 West, ft" P.M., Weld County, more particularly described as Weld County Parcel No. 096524100003 [see Exhibit 1 -A to the Surface Use Agreement for legal description and map]. For $ 100, payment of monthly rent, and other good and valuable consideration, the receipt and sufficiency of which arc hereby acknowledged, Terminus North by this Lease does grant, lease, remit and remise the Lands to Blue Grama, on the following terms: 1 . The term of this Lease shall extend for the period set forth in Section 9 of the Surface Use Agreement executed contemporaneously by Terminus North, Blue Grama, and 70 Ranch, LLC on the above date that is attached hereto as Exhibit 1 and made a part hereof as though fully set forth herein (the "Surface Use Agreement"), provided that, on the second anniversary of this lease, Blue Grama has built the Crude Oil Facility or is in the process of building said facility. 2. This Lease is granted for the purpose of allowing Blue Grama the right to apply for permits to use said premises for the purpose of erecting, installing, maintaining, operating, altering, replacing, repairing, and removing electrical meters and pump facilities, tanks, outbuildings, office space, truck loading and unloading sites, pipelines, including appurtenances thereto and for oil and gas storage in tanks, shipment by trucks and pipeline, measurement and other purposes and uses in connection therewith. Lessee shall have the right and obligation to do and perform such acts on adjacent land as may be necessary to protect Lessor's and its property in case of fire or flood and to prevent spread and loss of oil. Blue Grama shall have the use of the surface of the Lands during the term of this Lease. Blue Grama shall also have the right of ingress and egress to and from the Lands and across the adjoining lands owned by 70 Ranch, subject to the terms of the Surface Use Agreement. The monthly payment fees described in the Surface Use Agreement are rental obligations of this Lease. 3. All equipment, fixtures, and facilities placed on the Lands by Blue Grama shall be and remain the property of Blue Grama. Upon expiration of this Lease, Blue Grama shall have a reasonable time, not to exceed One Hundred Eighty ( 180) days, in which to remove all of Blue Grama's equipment, fixtures, and facilities. Following the termination of the Lease, Blue Grama 1 4151397 Pages : 2 of 8 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly Koppes • Clerk and Recorder , Weld County : CO 111 Blue Grama 9/21/2015 shall restore the Lands, in conformity with the terms of the Surface Use Agreement. 4. Blue Grama shall pay the ad valorem taxes on the Lands, together with all taxes and fees assessed against any structure, material, equipment, fixtures, and facilities placed on the Lands by Blue Grama. 5. Blue Grama shall fence and maintain the Lands in accordance with the Surface Use Agreement. Any changes in roads or entrances to the Lands shall be pursuant to the Surface Use Agreement and Exhibit I -D attached hereto. 6. This Lease, and all of its terms and provisions shall extend to and be binding on the heirs, devisees, executors, administrators, representatives, successors and assigns of Terminus North and Blue Grama. [REMAINDER OF PAGE IS INTENTIONALLY BLANKT 2 4151397 Pages : 3 of 8 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly KopPes . Clerk and Recorder , Weld County , CO W ■ i Blue Grama 9/21/2015 Ell fr�r rP� P1� WWI RAT'�'Nd� iirii117��ri ��i'� ■1111 This Lease is executed by Terminus North and Blue Grama as of the date of acknowledgment of their signatures, but shall be effective as of the Effective Date stated above. Terminus North, LLC Namer— w,,/mot• vv 1A, ... Title: A ,/wJOf_ Blue Grama Land Corporation Name: Title: !REMAINDER OF PAGE IS INTENTIONALLY BLANK! 3 4151397 Pages : 4 of 8 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly Koppes . Clerk and Recorder . Weld County ; CO iiii W rdIIt le I 4:11'KW �,Pi ��i 'ti � II H I Blue Grama 9/21/2015 This Lease is executed by Terminus North and Blue Grama as of the date of acknowledgment of their signatures, but shall be effective as of the Effective Date stated above. Terminus North, LLC Name: Title: Blue Grama Land Corporation Name: ,fC Xrtt, 1' on tiStrn Title: MQ..t10lyx- (2_0(kU [REMAINDER OF PAGE IS INTENTIONALLY BLANK' Li 4151397 Pages : 5 of 8 10/20/2015 10 : 31 AM R Fee : $45 . 00 Blue Grama 9/21/2015 Carly Koppes , Clerk and Recorder , Weld County , CO ■111 i ��M�'�1�.4�1��„I�h;«�4�1'�� taw C��,l:�hi 11111 ACKNOWLEDGEMENTS ACKNOWLEDGEMENTS STATE OF COLORADO ) ) ss COUNTY OF arapaillth_f ) On St(,1}f y ✓ , 2015, before me, personally appeared Ronald E. vonlembke as Manager of Terminus North, LLC, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my nand and official ceaj_ WHITNEY 8 BARTELS NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20094031406 MY COMMISSION EXPIRES OCTOBER 26, 2017 My commission expires: ID -21.,— re, Lick" , Notary Public 61 STATE OF ) ) ss COUNTY OF ) On _, 2015, before me personally appeared as of Blue Grama Land Corporation, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. My Commission Expires: Notary Public 4151397 Pages : 6 of 8 awii /20110 : 31 AM R Fee : $46 . 00 ` ( ` I Weld Blue Grama 9/21/2015 ll+ � + ■ colic: . ACKNOWLEDGEMENTS S'l'A'I'E OF COLORADO ) ) ss COUNTY OF ) On , 2015, before me, personally appeared Ronald E. vonlembke as Manager of Terminus North, LLC, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. My commission expires: Notary Public STATE OF UYJ &horna) ) ss B COUNTY OF iLla.\Q'mcL ) • On �' , 2015, before me personally appeared .Jere M 0 rrC5 as Mcu r1 _OW of Blue Grama Land Corporation, personally known to me to be the person Ailhose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. LA BONES Notary Public, State of Oklahoma Commission # 13000818 My Commission Expires: My Commission Expires January 24, 2017 1914' 11 Notary Public After Recording Return To: Elkouri Land Services, LLC 3030 NW Expressway, Ste 885 Oklahoma City, OK 73112 4151397 Pages : 7 of 8 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly Koppes , Clerk and Recorder , Weld County . CO lilt ! !F.MILIF1IVII: ' Ill 11 I Exhibit 1-A to Surface Use Agreement between 70 Ranch, LLC, Terminus North, LLC, and Blue Grama Land Corporation The Lands 12.8 acres of property situated on Section: 24-5N-63W and specifically identified in the diagram attached hereto (the "Property"). The Lands — Metes & Bounds Description TRACT "A" DESCRIPTION: ALL THAT PART OF THE SOUTHWEST QUARTER AND SOUTHEAST QUARTER OF SECTION 24, TOWNSHIP 5 NORTH, RANGE 63 WEST OF THE 6TH P.M., COUNTY OF WELD, STATE OF COLORADO, DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHWEST CORNER OF SAID SECTION 24; THENCE N 88° 59' 27" E, ALONG THE SOUTH LINE OF THE SW 1 /4 OF SAID SECTION, A DISTANCE OF 2090.73 FEET; THENCE N 00° 41 ' 04" W, A DISTANCE OF 209.50 FEET, TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING N 00° 41 ' 04" W, A DISTANCE OF 680.39 FEET; THENCE N 89° 18' 56" E, A DISTANCE OF 514.72 FEET, TO A POINT ON "I'HF, EAST LINE OF THE SW 1/4 OF SAID SECTION; THENCE CONTINUING N 89° 18' 56" E, A DISTANCE OF 304.66 FEET; THENCE S 000 41 ' 04" F;, A DISTANCE OF 680.39 FEET; THENCE S 89° 18' 56" W, A DISTANCE OF 285.30 FEET, TO A POINT ON SAID EAST LINE OF SAID SW 1 /4; THENCE S 89° 18' 56" W, A DISTANCE OF 534.07, TO THE TRUE POINT OF BEGINNING. 4151397 Pages ; 8 of 8 , 10/20/2015 10 : 31 AM R Fee : $46 . 00 Carly Koppes . 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W. 1911 • 1 ' _ .. ., .-- .1. . -- .... .3/411,• - . + 06 site ;ntrance / ! =` =L • - I, - ' i." . ,w,� \,�/ ,; GoogIe earth 2 Facility Entrance from 70 Ranch Road \ , • k . '. - . •.Rrverside.Stati'",", .. .. " . . - - . - -. - - _ -. - .. - ___ _ - r ---r_' �- _ .. _ — .a� tip 3.,y: S. tia.. •`', • •• t • - - i•�%-'I 1 /t . 1:...��r j ,y. ii1 1 4 1 1 Goole ears 3 Traffic Route from WCR 388 to facility It - r •.t .\ _`tin -_� +. ‘ itt `'.* N. a Z 1 -4 W Q 04 • . N • • , ..:t rtam ‘.:\-----------------4 ' . Ill ' .. 64 4 . • .. 4 Looking East at WCR 388 . f.,[j �:al:7,i�ar:':� .s .. OPEN RANGE. . , .. _ ..11VESTOCH PRE_ SENT `<>- le y-e= Syr _� 1 ® _ - si=r.. — Y ` — — a y �r,-" _ - rc._ . -•-- ' — _ .V .. - - . •. am .. .. - .J- f 5 Looking North at WCR 388 t _ _ t Li ter .- _• 41, ,S. .11{ �MGr�`� Aglib �- .__ 1 � ` 6 Looking South at WCR 388 i _ ..p il I C 11 _ ; ill I . •' al: IIQ ,mod -VOW - • Oral CIO d .. 7 Looking West at WCR 388 - - IIxi / .J sVari, 1:‘ ( I le- - V / 8 ;Tic ENVIRONMENTAL EXCELLENCE General Permits 06 and 08 Construction Application Property: Blue Grama Land Corporation Riverside Station Section 24, Range 63 W, and Township 5N Weld County, CO August 4, 2015 Project Number: 0214P018B Prepared for: Blue Grama Land Corporation 7800 N . Dallas Parkway, Suite 320, Plano, TX 75024 Attn : Lance King V4AA Vice President Environmental & Regulatory Affairs r imiric I St ENVIRONMENTAL EXCELLENCE TABLE OF CONTENTS 1 .0 EXECUTIVE SUMMARY 1 2.0 PROCESS/PROJECT DESCRIPTION 2 2 . 1 Process Description 2 2 .2 Project Description 2 2 . 3 Station Location 2 3.0 EMISSIONS CALCULATIONS 3 3. 1 Storage Tanks 3 3.2 Fugitive Emissions 3 3. 3 Startup, Shutdown , and Maintenance (SSM ) Events (Roof Landings) 3 4.0 REGULATORY APPLICABILITY ANALYSIS 4 4. 1 Federal Regulations 4 4.2 Colorado Air Pollution Control Rules 5 LIST OF APPENDICES Appendix A: Figure 1 — Area Photo Figure 3 — Process Flow Diagram Figure 2 — Site Map Appendix B : CDPHE Forms APCD 100 — Checklist APCD 101 — Company Contact APCD 102 — Facility Wide Emissions Inventory Form APCD 205 — Condensate Tanks APEN APCD 213 — Diesel Reciprocating Internal Combustion Engines APEN APCD 214 — NSPS 1111 APEN — Addendum Form APCD 304 - Storage Tank O&M Supplemental APEN Appendix C : Detailed Emission Calculations Appendix D : Fee Submittal 4—zirst ii Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B GENERAL PERMIT APPLICATION 1 .0 EXECUTIVE SUMMARY Blue Grama Land Corporation plans to construct the Riverside Station located in Weld County, Colorado. While the design of the facility has not been finalized , this application is to authorize the construction of: • Two (2) 9,500-barrel internal floating roof ( IFR) storage tanks (T-951 and T-952), and • One ( 1 ) 300 Kilowatt emergency generator. The maximum facility throughput is estimated at 19, 000 barrels per day (bpd ). Throughputs will be maintained on a 12-month rolling average. Total VOC emissions are estimated at hazardous air pollutant (HAP) emissions are estimated at 2 .2 TPY. A summary of emissions from the facility are presented in Table 1 - 1 . Table 1 -1 : Emissions Summary AIRS ID EUG VOC NOx CO Description lb/hr TPY lb/hr TPY lb/hr TPY 001 Storage Tanks 1 . 18 5. 18 002 Emergency Generator 0.99 0.25 6.83 1 .71 8.41 2. 10 TOTAL (Including HAPS) 2.17 5.43 6.83 1 .71 8.41 2. 10 Total HAP Emissions 0.14 0.62 This application the forms, checklists, and information required by the CDPHE . A description of this particular project is included in Section 2. Detailed emissions information is presented in Section 3 and Appendix C. A copy of the fee submittal is included in Appendix D. Please note this application uses preliminary data . When being considered , please request updated information and it will be supplied promptly. This will ensure the final design is reviewed before issuing of the permit. 1 Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B 2.0 PROCESS/PROJECT DESCRIPTION 2. 1 Process Description The Riverside Station receives crude oils and natural gas condensate via pipeline from nearby wells and production facilities. The material is stored in IFR tanks and transported out via pipeline and by tank truck. A process flow diagram is provided in Appendix A, Figure 2 . 2.2 Project Description The objective of this project is to construct: • Two (2) 9,500-barrel floating roof ( IFR) storage tanks (T-951 and T-952), • One ( 1 ) 300 Kilowatt generator, and • Additional fugitive components (i .e. , valves, flanges, etc. ) associated with the new tanks. 2.3 Station Location From Greeley, head North on 8th Avenue. Turn right onto O St. and continue on Co Rd 64. Turn left onto Weld County Rd 43. Take the first (paved ) right onto Co Rd 66 and continue for about 0.8 miles to find the Station entrance on the right. ZISIC Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B 3.0 EMISSIONS CALCULATIONS 3. 1 Storage Tanks VOC emissions from the proposed tanks are calculated using EPA's TANKS 4.09 program , as shown in Appendix C. The tanks store crude oil . Emissions from the tanks are summarized in Table C-2 of Appendix C. The TANKS 4.09d output file for condensate at RVP 12 is also included . 3.2 Startup, Shutdown, and Maintenance (SSM) Events (Roof Landings) The CDPHE requires the permitting of certain predictable SSM events for a facility. The only significant SSM events are the landing of the floating roofs during an inspection or repair. Blue Grama Land Corporation estimates that no more than two landing events each year. Emissions were calculated using the roof landing Equation 2-26 found in AP-42, Chapter 7. Emissions from roof landings are shown in Table C-3. Emissions from the roof landings are being included in the tank APEN . 13 Emergency Generator Riverside Station plans to install one ( 1 ) EPA-certified 300 Kw (449-hp) diesel-fired emergency generator. The run time on the generator will be limited to 500 hours per year, and the unit will be equipped with a non-resettable hour meter. Emissions from the emergency generator are based on EPA Tier III standards and AP-42 , Section 3.3. Calculations are shown in Appendix C, Table C-4. 3.4 Fugitive Emissions The definition of "Potential to Emit" can include physical or operational limitations that are state enforceable (5 CCR 1001 -2 I .G . ). Based on AQCC Regulation No. 7 requirements for fugitive sources (i .e. , LDAR program ) that the emissions from fugitive sources are APEN-exempt [i .e. , less than 1 ton per year (TPY)] . Fugitive VOC emissions are calculated using emission factors found in the EPA document "Protocol for Equipment Leak Emission Estimates" (EPA 453/R95- 017) Table 2-8 Oil and Gas Screening Ranges Emission Factors. A summary of proposed fugitive components and VOC emissions is included in Appendix C, Table C-2 for completeness. ZISIC Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B 4.0 REGULATORY APPLICABILITY ANALYSIS This section provides a summary demonstration that this project will meet all of the applicable Federal Regulations and State Regulations. 4. 1 Federal Regulations PSD, 40 CFR Part 52 [Not Applicable] The facility is not a Prevention of Significant Deterioration (PSD) major source because VOC emissions are less than 100 TPY. Standards of Performance for New Stationary Sources (NSPS), 40 CFR Part 60 [Applicable] Subpart A requires the submittal of several notifications for NSPS-affected sources. Within 30 days after starting construction of any affected facility, the Facility must notify the Administrator (CDPHE) that construction has commenced . A notification of the actual date of initial startup of any affected facility will be submitted within 15 days after such date. If required , initial performance tests are to be conducted within 60 days of achieving the maximum production rate, but not later than 180 days after initial startup of the facility. The facility must notify CDPHE at least 30 days prior to any initial performance test and must submit the results of the initial performance tests to CDPHE . Subparts Kb, Volatile Organic Liquid (VOL) Storage Vessels. This subpart regulates hydrocarbon storage tanks larger than 19,813 gallons capacity and built after July 23, 1984. The proposed IFR tanks are subject to and will comply with NSPS Subpart Kb. Subpart 1111 , Standards of Performance for Stationary Compression Ignition (CI ) Internal Combustion Engines ( ICEs). This subpart affects stationary CI ICEs based on power and displacement ratings, depending on date of construction , beginning with those constructed after July 11 , 2005. For the purposes of this subpart, the date that construction commences is the date the engine is ordered by the owner or operator. Compliance with this subpart is required in this permit for the emergency generator. National Emission Standards for Hazardous Air Pollutants (NESHAPs), 40 CFR Part 61 [Not Applicable] There are no emissions of the regulated pollutants other than benzene. The facility will emit less than 150 pounds of benzene in any 12-month period . However, the facility is not one of the listed affected sources and is, therefore, exempt from this part. NESHAP, 40 CFR Part 63 [Some Applicable] Potential HAP emissions from the facility are below the 10/25 TPY major source thresholds as shown in the emissions section . Subpart OO The facility is not subject to the provisions of this subpart because they apply to the control of air emissions from tanks for which another subpart of 40 CFR parts 60, 61 , or 63 references the use of this subpart for such air emission control . Subpart EEEE for storage of organic liquids. Final Rule published in the Federal Register on February 3, 2004. This facility is a true minor source of HAPs and is not subject to this subpart. ZISIC Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B Subpart ZZZZ, Reciprocating Internal Combustion Engines (RICE ). This subpart affects new engines at area sources. Blue Grama will meet the requirements of Subpart ZZZZ by complying with the applicable provisions of 40 CFR Part 60 Subpart 1111 for the emergency generator. Compliance Assurance Monitoring (CAM), 40 CFR Part 64 [Not Applicable] CAM applies to any pollutant-specific emission unit at a major source that is required to obtain a Title V permit, if it meets all of the following criteria : • It is subject to an emission limit or standard for an applicable regulated air pollutant. • It uses a control device to achieve compliance with the applicable emission limit or standard . • It has potential emissions, prior to the control device, of the applicable regulated air pollutant of greater than 100 TPY. The facility is not required to obtain a Title V permit, this rule does not apply. Chemical Accident Prevention Provisions, 40 CFR Part 68 [Not Applicable] The definition of a stationary source does not apply to transportation , including storage incident to transportation , of any substance or any other extremely hazardous substance under the provisions of this part. Naturally occurring hydrocarbon mixtures, prior to entry into a natural gas processing plant or petroleum refining process unit, including : condensate, crude oil , field gas, and produced water, are exempt for the purpose of determining whether more than a threshold quantity of a regulated substance is present at the stationary source. Stratospheric Ozone Protection, 40 CFR Part 82 [Not Applicable] The facility does not produce, consume, recycle, import, or export any of the controlled substances or controlled products as defined in this part, nor will service on motor (fleet) vehicles, which involves ozone-depleting substances, be performed . Therefore, as currently operated , the facility is not subject to these requirements. 4.2 Colorado Air Pollution Control Rules Regulation No. 1 (Particles, Smokes, Carbon Monoxide and Sulfur Oxides) [Not Applicable] Regulation No. 1 sets forth emission limitations, equipment requirements and work practices (abatement and control measures) intended to control the emissions of particles, smoke, and sulfur oxides from new and existing stationary sources. This facility is a source of VOC only so it not subject to Regulation No. 1 . Regulation No. 2 (Odor Control) [Applicable] Regulation No. 2 sets standards for allowable odor contaminants for different land-use areas in the state and outlines control measures that can be taken to bring violators into compliance. The Facility will comply with the applicable standards. Regulation No. 3 (Air Pollution Emission Notices-Permits) [Applicable] Regulation No. 3 requires sources of air contaminants to file Air Pollution Emission Notices. It also requires new or modified sources of air pollution to obtain preconstruction permits. The facility is complying with Regulation No. 3 requirements with this submittal . ZISIC Blue Grama Land Corporation - Riverside Station General Permit Application Project No. 0214P018B I Regulation No. 6 (New Source Performance Standards) [Applicable] Regulation No. 6 sets standards of performance for specific new stationary sources in Colorado. The tanks are subject to New Source Performance Standards Subpart Kb and will comply with applicable requirements. Regulation No. 7 (Volatile Organic Compounds Control) [Applicable] Regulation No. 7 sets standards for controls of VOCs from storage tanks located in non- attainment areas. The storage tanks are equipped with IFR controls that meet the regulatory requirements. Regulation No. 7 Section VII .C.3 requires that fugitive emissions components (i .e. , valves, flanges, pumps, etc. ) shall be monitored annually using US EPA Method 21 . ZISIC ri- cirSt ENVIRONMENTAL EXCELLENCE APPENDIX A Photo , Process Flow Diagram , and Site Map r \ GATHERING SYSTEM TRAP BY OTHERS [ GATHERING PIPELINE X X X X PROPERTY UNE (819) X X X X X ' . l � ++ x _ .w ft__ ! " " [ BYOTRERs _ - — �12" TO LUCERNE • \ —1 . x x � - MUNCHER I '" 1 I r.I �` , w I : ' 's. x I CONSTRUCTION X 1 yr _I_ EA -I GATHERING SYSTEM LAYDOWN X' , • -7:41- BY OTHERS )11r)I V I 'e. 2 I I Ci I APPROXIMATE PROJECT LOCATION 1 I I i X I I I I x god-' x Sc) Tir I� � - - -- - I \— EX/SUNG GAS WELL >' cis o 7:4 44 I ; Qti I a_c SLID/NG GATE I � I k } I I ? I x x w X L— _ _ -1 11_- -- --J w x x x x co — - / © 0 50' 100' W / W SLIDING GATE I PUMP OUT HATCH TO CONCRETESCALE: 1" = 100SPILL CONTAINMENT TRENCH 111 Mr k O \ / If o - (45 FT. DIA) (45 FT. DIA) x z x n 9,500 BBL 'S COVERED 9,500 ,BBL ; LACT UNITS QTANK 002 1 TANK DOJ II CE I w ox Q / ox \� --// _ rrr J J z L - - - - - - - - - l�i�l� J I I a w Li x ic--2 _ x \ lit) PROVER TRUCK OR \ a PUMP OUT TRUCK AREA p - SLIDING GATE SLIDING GATE —\ w X X X X X X X - Q PROPERTY LINE (819) U 0 0 Ln Co 0 cc ii- co Co -----2 K------__ AERIAL MAP Nrit•elirS1: GENERAL PERMIT TRINITY SERVICES & Q BLUE GRAMA LAND CORPERATION CONSULTING up Lo 66 RIVERSIDE STATION 609 S . KELLY, STE F-3 40 - 22'41", - 104 ° 23' 24" 0 EDMOND, OK 73003 Ln ENVIRONMENTAL EXCELLENCE N / In PRODUCT FROM PIPELINE PRODUCT STORED IN PIPELINE OUT ( 2) 9, 5O0- BBL TANKS (TO LUCERNE) PRODUCT TRUCK OFF LOADING PROCESS FLOW DIAGRAM rallitSt TRINITY SERVICES & CONSULTING 609 S . KELLY, STE F-3 GENERAL PERMIT BLUE GRAMA LAND CORPERATION RIVERSIDE STATION 40 ° 22/41", - 104° 23' 24" EDMOND, OK 73003 ENVIRONMENTAL EXCELLENCE GRADE BREAK N. 14665691.52' GATHERING SYSTEM TRAP E. 1812196.56' N. 8+ 00 BY OTHERS EL. 4537.5' GTh4IDE BREAK N 14665691.52' PROPERTY LINE (819) -25. 00 ' i GATHERING PIPELINE x r x x r x x r r x x x .c r �c x r x x r BY OTHERS E. 1 S 11377.b7 i N EL. 4537.5' __-- r ------I GATHERING SYSTEM ---. ---F—c=Tp i ; r� BY OTHERS 12" TO LUCERNE �• L--_L r_L-1b I>HH L—t-- x 10. 00 7---- ,` LSURVEILCANCEL' \ LAUNCHER METER N x l i 50' 25' 0 5U' IOi_, x CONSTRUCTION LAYDOWN GJa OI AREA r---Y----1 N. + 0D Vi i JW i -y x_-x i W 1,� , K X z x x x (32 EXISTING GAS WELL2 ' ' a. ~' I i�I I m 0 x ,~II` I � � d SLIDING GATE 1 n il� i o " i � � PI' i � Z ' ' 'L Q o x M N N N N N N —71-- 1 ; x co \ I K K / Z x SLIDING GATE \ N. 4+ 00 Q Q (flu PUMP OUT HATCH TO CONCRETE — \ / x W iSPILL CONTAINMENT TRENL'rr i \ J 0 I x \ / x \ l rn I x COVEREDtin LACUNITS —69.22 '-- -�E / x di tern rn CI In I o x 4 ; i : i 1p N w I I I I x X , , oli ,III o m o --T-.../ o J o o N. 2 TOD 1 1 iI--. ir) krt....,/c CCI. N > x�-X- i_--- x -fix x ,V PROVER TRUCK OR / \ 2 PUMP OUR TRUCK AREA o 0 SLIDING GATE SLIDING GATE x h di x N N N K N N N N N al Q, GRADE BREAK / PROPERTY LINE (819) " \ GRADE BREAK N. 14665011.52' N. 14665011.52' 31 E. 1811377.67' E. 1812196.56' N. EL. 4537.5' 60, 00 'R EL. 4537..5' iii G G G G G G G G V I N. U+ uo x' x x x x x X x x x Y x x X X x x x X �G _ _ G G G G G �►® G G G _o in I— 0 — —C ± * / _ -4- , Jo 0 O 0 0 O + wE O O C O 0 CC w DI 'Z D E, FACILITY DIAGRAM TRINITY SERVICES & I- o GENERAL PERMIT vng CONSULTING LI 0 BLUE GRAMA LAND CORPERATION 609 S. KELLY, STE F-3 z tlEISE o RIVERSIDE STATION EDMOND, OK 73003 co u 40°22'41", 104°23'24" ENVIRONMENTAL EXCELLENCE 053 a ricIrSt ENVIRONMENTAL EXCELLENCE APPENDIX B CDHPE Forms n.:C Form APCD-100 Colorado Department of Public Health and Environment e� � 11 Air Pollution Control Division * *4 1876 • Oil Colorado Department & Gas Industry of Public 1 lealth Construction Permit Application Completeness Checklist and Environment Ver. November 29, 2012 Company Name: Blue Grama Land Corporation Source Name: Riverside Station Date: 8/5/201 .5 Yes No Are you requesting a facility wide permit for multiple emissions points? /1 • In order to have a complete application, the following attachments must be provided, unless stated otherwise. If application is incomplete, it will be returned to sender and filing fees will not be refunded. Attachment Application Element Applicant APCD A APEN Filing Fees • Air Pollutant Emission Notice(s) (APENs) & • B Application(s) for Construction Permit(s) — APCD Form Series 200 • C Emissions Calculations and Supporting Documentation N. D Company Contact Information - Form APCD-101 IX E Ambient Air Impact Analysis �1 Check here if source emits only VOC (Attachment E not required) F Facility Emissions Inventory — Form APCD-102 X Check here if single emissions point source (Attachment F not required) G Process description, flow diagram and plot plan of emissions unit and/or facility • Check here if single emissions point source (Attachment G not required) H Operating & Maintenance (O&M) Plan — APCD Form Series 300 IX ■ Check here if true minor emissions source or application is for a general permit (Attachment H not required) I Regulatory Analysis x ■ Check here to request APCD to complete regulatory analysis (Attachment I not required) Colorado Oil and Gas Conservation Commission (COGCC) 805 Series Rule Requirements- Form APCD-105 ■ Check here if source is not subject to COGCC 805 Series requirements (Attachment J not required) Send Complete Application to: Colorado Department of Public Health & Environment APCD-SS-B1 4300 Cherry Creek Drive South Denver, Colorado 80246-1530 Check box if facility is an existing Title V source: ■ Send an additional application copy Check box if refined modeling analysis included: • Send an additional application copy Check box if application is for major NA NSR or PSD permit: • Send eight (8) total application copies Page 1 of 1 AP_Form-APCD-100-Construction-Permit-Application-Completeness-Checklist.doc Form APCD-101 EtteColorado Department of Public Health and EnvironmentAir Pollution Control Division6 * Colorado Department of Public Health Company Contact Intormation Form and Environment Ver. September 10, 2008 Company Name: Blue Grama Land Corporation Source Name: Riverside Station Permit Lance King Compliance Lance King Contact' : Contact': 7800 N. Dallas Parkway, Suite 7800 N. Dallas Parkway, Suite 320 320 Address: Street Address: Street Plano TX 75024 Plano TX 75024 City State Zip City State Zip Phone Number: 405-200-1254 Phone Number: 405-200- 1254 Fax Number: Fax Number: E-mail: lking@rimrockmidstream.com E-mail: lking@riinrockinidstream.com Billing Contact: Billing Contact: 3 Lance King 4 Lance King (Permit Fees? (Annual Fees) 7800 N. Dallas Parkway, Suite 7800 N. Dallas Parkway, Suite 320 320 Address: Street Address: Street Plano TX 75024 Plano TX 75024 City State Zip City State Zip Phone Number: 405-200-1254 Phone Number: 405-200-1254 Fax Number: Fax Number: E-mail: lking@rimrockmidstream.com E-mail: lking@rimrockmidstream.com Check how would you like to receive your permit fee invoice? Mail: /1 E-mail : X Fax : Footnotes: The permit contact should be the point of contact for technical information contained in the permit application. This may be a company representative or a consultant. 2 The compliance contact should be the point of contact for discussing inspection and compliance at the permitted facility. 3 The billing contact (Permit fees) should be the point of contact that should receive the invoice for fees associated with processing the permit application & issuing the permit. (Reg. 3, Part A, Section VI.B) The billing contact (Annual fees) should be the point of contact that should receive the invoices issued on an annual basis for fees associated with actual emissions reported on APENs for the facility. (Reg. 3, Part A, Section VI.C) Page 1 of 1 AP_Form-APCD-1 01-Company-Contact-Information.doc Colorado Department of Public Health and Environment C D P H E Form APCD-102 Air Pollution Control Division 4 Facility Wide Emissions Inventory Form Ver. April. 2015 CO deCompany Name: Blue Grama Land Corporation Source Name: Riverside Station r.,. Source AIRS ID: 001 and 002 C neon rolled Potential to Emit(VIE) Controlled Potential III Emil(PTE) Criteria(TPV) I ILU's(lbs/yr) Criteria(fP1') I 11.%Ps(Ibs?!.O AIRS laEquipment Ikseription TSP P\110 P\12.5 502 VOs %(X CO CO HCHO Acetal Acro H% Vol ER Xyl n-Hes Meth 224-1T1P TSP PMI0 1'\12.5 502 Nth VOX CO CO 11CHO Acetal Acre 13% Tol ER Xyl n-Hex Meth 224-NIP 001 9.5k IFR Tanks(2) 5.18 97.36 310.63 47.1? 80.35 615.57 5.18 92.36 310.63 4'.12 80.38 615.57 002 f.ntergency Generator 0.148) 0.011 1.71 0.25 2.111 0.001 0.1UO 0001 1.71 0.25 2.10 O001 Permitted Sources Subtotal= 0.0 0.0 0.100 0.001 1.71 5.430 2.10 0.0(11 0 0 92.36 310.63 47.12 80.38 615.57 0 0.00 0.0 0.0 0.100 0.001 1.71 5.430 2.10 0.001 0 0 92.36 310.63 47.12 80.38 615.57 0 0.00 APES O4-Permit Exempt Sources APES Only Subtotal= 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0 0 0 0 0 0 0 0 11 11 0.0 0.0 0.11 0.0 0.0 0.11 0.0 0 11 0 0 0 II 11 0 0 0 APES Exempt/Insignificant sources 003 fugitive I•.nussinns 0.I 1),I 1 Insignificant Subtotal- 0.0 0.0 0.0 0.0 0.0 0.1 0.0 l 0 0 0 0 0 0 0 0 0 0 ' 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0 0 0 0 0 0 0 0 0 0 I oral.All Sources=l 0.0 1 o.n I 0.1 I 0.0 I 1.7 I 5.6 I 2.I 1 0 ( o I 0 1 92 I 311 I 47 1 80 I 616 1 0 I 0 1 0.0 1 0.0 1 0.1 I 11.11 ( 1.7 I 5.6 I 2.1 0 1 0 I 0 I 92 I 311 I 47 I 80 I 616 1 0 f o Uncontrolled HA l's Summary(11'1'1= 0.0 0.0 1.0 0.0 0.2 0.0 0.0 0.3 0.0 0.0 Controlled HAP%Summary(ITV)=1 0.0 1 0.0 I 0.0 I 0.0 I 0.2 I 11.11 0.0 J 0.3 I 0.0 I 0.0 Uncontrolled Total,All t1APs(7711')-I 0.6 1 Controlled Total,All t1A1's(TI'\)-1 0.6 1 Footnotes: I. This form should be completed to include both existing sources and all proposed new or modifications to existing emissions sources 2. If the emissions source is new then enter"proposed" under the Permit No. and AIRS II)data columns 3. HAP abbreviations include: B .= Benzene 224-I'MP=2.2,4-frimethylpentane Tol=Toluene Acetal =Acetaldehyde EH= I thylbenzeme Acro=Acrolein Xyl= Xylem: n-Hex =n-Hexane HCHO= Formaldehyde Meth = Methanol 4. APEX Exempt/Insignificant Sources should be included when warranted. Company Name 8/4/2015 Page 1 of 1 AIR POLLUTANT EMISSION NOTICE (APEN) & Application for Construction Permit — Condensate Storage Tank(s)1 Permit Number: [Leave blank unless APCD has already assigned a permit # & AIRS ID] Emission Source AIRS ID: / / 001 Facility Equipment ID: T-951 and T952 [Provide Facility Equipment ID to identify how this equipment is referenced within your organization.] Section 01 — Administrative Information Section 02 — Requested Action (Check applicable request boxes) Company Name: NAICS, or 0 Request for NEW INDIVIDUAL permit Blue Grama Land Corporation 4612 0 Request for coverage under GENERAL PERMIT SIC Code: Source Name: Riverside Station 0 GP01 0 GP08 Source Location: Kersey, Co County: Weld 0 Request MODIFICATION to existing INDIVIDUAL permit (check boxes below) Elevation: 5051 Feet ❑ Change process or equipment ❑ Change company name Mailing Address: 7800 N. Dallas Parkway, Suite 320 ZIP Code: 75024 0 Change permit limit 0 Transfer of ownership 0 Other Plano, Texas ❑ APEN Submittal for Permit Exempt/Grandfathered source Person To Contact: Lance King Phone Number: (405) 200-1254 0 APEN Submittal for update only (Please note blank APEN's will not be accepted) E-mail Address: Fax Number: Addl. Info. Iking@rimrockmodstream.com & Notes: Tank numbers may be updated Section 03 — General Information For existing sources, operation began on: / / For new or reconstructed sources, the projected startup date is: 10 / 15 / 2015 This Storage Tank is Exploration & Production SI Midstream or Downstream hours/ days/ weeks/ Located at: O (E&P) Site (Non-E&P) Site Normal Hours of Source Operation: 24 day 7 week 52 year Will this equipment be operated in any NAAQS nonattainment area? TA Yes 0 No Are Flash Emissions anticipated at these tanks O Yes O No Is actual annual average hydrocarbon liquid throughput ≥ 500 bbl/day? NI Yes O No If"yes", identify the stock tank gas-to-oil ratio: m3/liter Are these condensate tanks subject to Colorado Oil and Gas Conservation Commission (COGCC) 805 series rules? If so. submit Form APCD-105. 0 Yes 0 No Are you requesting ≥ 6 ton/yr VOC emissions, or are uncontrolled actual emissions ≥ 6 ton/yr? 0 Yes 0 No General description of equipment purpose: Section 04 — Storage Tank(s) Information Condensate Requested Permit Limit: 6.9 MM bbl/year Colorado Department of Public Health and Environment Air Pollution Control Division (APCD)This notice is valid for five Throughput: Actual: bbl/year Actual While Controls Operational: bbl/year (5) years. Submit a revised APEN prior to expiration of five-year Average API Gravity of Sales Oil: 68 degrees RVP of Sales Oil term, or when a significant change is made (increase production, new Tank Design: Fixed Roof: equipment, change in fuel type, etc). g 0 Internal Floating Roof: � External Floating Roof: ❑ Mail this form along with a check for $152.90 per APEN for non- Storage # of Liquid Manifold Total Volume of Installation Date of most recent E&P, midstream and downstream sources or $152.90 for up to Date Of First Production Tank Storage Vessels in Storage Tank storage vessel in storage tank five (5) APENs for E&P sources and $250 for each general permit ID Storage Tank (bbl) (Month/Year) (Month/Year) registration to: T-951 2 9,500 5/2016 N/A Colorado Department of Public Health & Environment APCD-SS-B1 T-952 2 9,500 5/2016 N/A 4300 Cherry Creek Drive South Denver, CO 80246-1530 For guidance on how to complete this APEN form: Wells Serviced by this Storage Tank or Tank Battery (E&P Sites Only) API Number Name of Well Newly Reported Well Air Pollution Control Division: (303) 692-3150 0 Small Business Assistance Program (SBAP): (303) 692-3148 or (303) 692-3175 - - 0 APEN forms: http://www.colorado.gov/cdphe/oilaasAPENS - - ❑ Application status: http://www.colorado.!ov/cdphe/permitstatus - - O - - 0 FORM APCD-205 Page 1 of 2 Form APCD-205-CondensateTank APEN-Ver.12-22-2014.doc AIR POLLUTANT EMISSION NOTICE (APEN) & Application for Construction Permit — Condensate Storage Tank(s)1 Permit Number: Emission Source AIRS ID: / / 001 Section 05 Stack Information (For Midstream sites only) Section 06 —Stack Source if no combustion Location (Datum & either Lat/Long or UTM) 'tax .�taCIC a ... . ::. :�:..:.;.::..::.:; ::.::, :. :;:..::::::::::.:;:.,::: : :::�::':...::..::.:.1::: :: :':;!r:..::;:: :i:.::s°.: ::::..r::.:�::':::'l'�:'• :..,::::::::,.:.:;.`. ..:•:::'::.':��.�. ..t�':::::.:.:.'�:'.::'':`::ri:�:°:�.:..::.::::•':'i:::.:.:.. :..:: :: ': Bas ... oi�zantal:Daturn...: .::: :. ..:. .. .::.::....:..: .. ..::..................::.�:.....:..:::::.:.::,::: ..... .. .. ::::... �.::.:�:. .... . :. .... 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Earth' Direction of stack outlet (cheek one): O Vertical O Vertical with obstructing raincap r O Horizontal O Down ❑ Other (Describe): Exhaust Opening Shape & Size (check one): O Circular: Inner Diameter (inches) _ O Other: Length (inches) = Width (inches) = Section 07 — Control Device Information ❑ Vapor Recovery Unit (VRU) used for control of the Storage Tank(s) ❑ Combustion Device used for control of the Storage Tank(s) Rating: MMBtu/hr Size: Make/Model: Type: Make/Model Requested VOC & HAP Control Efficiency: % VOC & HAP Control Efficiency: Requested: % Manufacturer Guaranteed: % Annual time that VRU is bypassed (emissions vented): % Minimum temp. to achieve requested control: °F Waste gas heat content: Btu/scf ❑ Closed loop system used for control of the storage tanks) Constant pilot light? El Yes I-1 No Pilot burner rating: MMBtu/hr Description: ❑ Describe Any Other: Section 08 — Gas/Liquids Separation Technology Information (E&P Sites Only) What is the pressure of the final separator vessel prior to discharge to the storage tank(s)? psig Please describe the separation process between the well and the storage tanks: Section 09 — Emissions Inventory Information & Emission Control Information n Emission Factor Documentation attached Data year for actual calendar yr. emissions below & throughput in Sec. 04 (e.g. 2007): :... ...... ...... .... .. . . .. ... . ....." .. " E�CtEial.Calendaz..'Year. . . .. . . . .. .. . . . ...... ....... . ........ . .. .. ........... .... ....... . . .. Emission:>:.:':�:.:.::::::::':::::.::::::::::�::.:.:.::::. .::.:::::.:.:.::::'.:::;.::..::::.......:.. .... . . . . ... . .. .... ... ...... ...............::......... . ........:::. :.:.:.:�.>.....:......:.....:... :... Re ueste. ::Peimitted:Emissions.:::::.::.:�::�::.::::�.::::::::::�::::,� :�::�: .::::: . .. .:.... ... .... .... .. . .. . .Pollutant . . ... .. ... . .. ..... . ... . ............:. ... .. ...............:..... .............................:.......:...:..:.........:....:.....:.:..:.:.::: � : :....::� ........:.::..:..........:.......::....:::...:. :::....:.:.::...:..:.......... .......:.............. .... ' :. :'Ein�€ssian�:.Fact...::..":.:: .:.:: ......,:' .::: ::' ::.:'::. ::. .::.!:.: :':::..:::.:: Uncontrolled Basis .. .......:::.:::., ':: : . ...... s nit ::..:...,:.::':: ::.::.:...:.:::::' :,. ..: :. :: . ...0 ozitrolled Toiis/Year. :::�: .: :.::::�:,. :. ..... ...:........ .... ..... :.. . ...... .. . . ... . . Controlled:: Ton,s/:yeaz. ::::..:. .::::: . :: :. : :.. . . ...:.:: ::::. .: .: .: :. .: ..�:::..,, .:�::;::.:�Da�a�:Source:::': :: . ... (... ... .. . )...... ........ .. .. (...:. ...... .... ...).:�....., ...:::Unconno�led (Tons/Year) :: .: ,::Controlled::.�Tons/:Year).:°�'' ::�:;:�:�::.::::::::::�::..::�:.::.::::.: ::.:: ::::.'::::: NOk 1 VOC 518 5.18 TANKS 4.09d CO Benzene 0.05 0.05 TANKS 4.09d Toluene 0.16 0.16 TANKS 4.09d Ethylbenzene 0.02 0.02 TANKS 4.09d Xylenes 0.09 0.09 TANKS 4.09d n-Hexane 0.31 0.31 TANKS 4.09d 2,2.4-Trimethylpentane Please use the APCD Non-Criteria Re m ortable Air Pollutant Addendum form to report pollutants not listed above. Section 10 —Applicant Certification - I hereby certify that all information contained herein and informatio su mitted " this application is complete, true and correct. If this is a registration for coverage under general permit GP0I or GP08, 1 further certify that this source is and will be oper i f CI mpliance vith each condition of the applicable genera ermit. 445 Si atu eor.: . � r of Petson Le �...:::'.�:.:.:�.:::::.:.:::�:...�:.... ;:::....::.:...:. all .Authonzed'.to:Su 1 :D . . ... . . . :;::. g Y.. . . . . . . .::......:�....... Date�::':':::.:: :::.:.,.:.:::::�:.�.:::....:.....:.......:::.. :. �:::::':::.::�:.::.:::..�:.::...:.::.:.:: Ply.Y..:. ............:......:.:..:.........:.....:...::.. zne.af.Le a l an z��d:Person.. :lease: tint :.....:..:.. .:....:.......... ...... .:.:..:::: :::::.::.::::.:c ::..:::: :::::.�.::.::;: :.�:::::':.::::. :::�.:::::::..::::::.::.:.:..................:.::.:.:.:.::.:..:. .:.......:..:::.:.::..:..:,::............ .... .. : . . g . . Y.................................................................�'... . . . . . . .. .. .............. :.:Title: .:,::. ...... ..:... ..... ..... . .... . .. . . . ... . ..... .. ......... 1 You may be charged an additional APEN fee for APEN re-submittal due to incorrectly filled-out APEN rills, ' g information. Annual emissions fees will be based on actual emissions reported here. Additional Information O Attach a pressurized pre-flash condensate extended liquids analysis, RVP & API analysis of the post-flash oil Required: i Attach E&P Tanks input & emission estimate documentation (or equivalent simulation report/test results) n Check box to request copy of draft permit prior to issuance. Q Attach EPA TANKS emission analysis if emission estimates do not contain working/breathing, losses Q Check box to request copy of draft permit prior to public notice. FORM APCD-205 Page 2 of 2 Form APCD-205-CondensateTank APEN-Ver.12-22-20I4.doc AIR POLLUTANT EMISSION NOTICE (APEN) & Application for Construction Permit -- Diesel Reciprocating Internal Combustion Engines Permit Number: [Leave blank unless APCD has already assigned a permit # & AIRS ID] Emission Source AIRS ID: / / 002 Facility Equipment ID: EmGen [Provide Facility Equipment ID to identify how this equipment is referenced within your organization.] Section 01 -- Administrative Information Section 02 — Requested Action (check applicable request boxes) Company Name: Blue Grama Land Corporation New Source: Source Name: Riverside Station NAICS, or 4612 O Request for a standard Construction Permit SIC Code: Source Location: Kersey, Co Q Request for Coverage under General Permit, GP06 (only one engine may be reported per APEN and coverage under GP06 is voluntary) County: Weld Portable Source Type of Source Requested: Home Base: Elevation: 4645 Feet 7800 N. Dallas ❑ Stationary Source Q Portable Source (may only stay at one site for<2 years) Mailing Address: Parkway, Suite 320 Existing Source: Plano, TX ZIP Code: El 75024 Person To Contact: Lance King Modification of Permit Phone Number: (405) 200-1254 Ill Ownership Transfer Fax Number: ❑ Company Name Change E-mail Address: iking@rimrockmidstream.com ❑ Request APEN Update (Emissions data must be completed. Blank APENs will not be accepted) Section 03-General Information El Notification of AOS permanent replacement (GP06 fee is not required, but APEN filing fee is required) General Description of Operation: Section 04 -- Engine Information Engine Function: U Standard O Peaking Power likg Emergency (max. 500 hrs/year) ED Fire Water Pump Colorado Department of Public Health and Environment What is the maximum number of hours this engine is used for emergency back-up power? hr/yr Air Pollution Control Division Make (for AOS, permitted (old) engine): Model: SN: This notice is valid for five (5) years unless a significant change is made, such as an increased production, new equipment, change in Make (for AOS, replacement (new) engine): Model: SN: fuel type, etc. An APEN update shall be filed no less than 30 days Maximum Design Horsepower Rating: 449 hp Displacement: (1/cyl) prior to the expiration date of this APEN form. Site-Rated Horsepower Rating (optional): hp Mail this form along with a check for $152.90 per APEN and, if requesting coverage under GP06, submit an additional GP06 Is this engine subject to 40 CFR, Part 60, NSPS Subpart IIII? Yes • No Registration fee of $900.00 per APEN (a single check may be If yes, please complete the New Source Performance Standards (NSPS) - 40 CFR, Part 60, Subpart IIII Applicability written for both) APEN Addendum Form (Form APCD - 214) and submit with this APEN form. This is only required for initial applications and Colorado Department of Public Health & Environment AOS permanent replacements, for affected engines; this is not required for modifications or APEN Updates. Information and APCD-SS-S1 guidance on this topic can be found at: www.colorado.gov/cdphe/airguidance 4300 Cherry Creek Drive South (Note: Certification under NSPS IIII is required for GP06 Coverage. If certification is not available, the engine is not eligible for GP06 Denver, CO 80246-1530 coverage. Therefore, the source must apply for the standard Construction Permit coverage.) For guidance on how to complete this APEN form contact: *Date of Engine Manufacture: TBD / / Air Pollution Control Division: (303) 692-3150 *Date of First Location into Colorado: / / Small Business Assistance Program (SBAP): (303) 692-3148 or *Date Engine Start Operating: 4 / 15 / 2016 (303) 692-3175 *Note: The application will not be accepted or processed and you may be charged an additional APEN fee, if these fields are not fully completed and the required documentation is not included FORM APCD-213 Page 1 of 2 g APEN- Diesel Engine-11.12.1 AIR POLLUTANT EMISSION NOTICE (APEN) & Application for Construction Permit — Diesel Reciprocating Internal Combustion Engines Permit Number: Emission Source AIRS ID: / / 002 Section 05 — Stack Information (Attach a separate sheet with relevant information in the event of multiple stacks; provide datum & either Lat/Long or UTM) :::..v: :: . :,:..,.. ':':`Stack Disctiar Stack Base ... .... .. ::..:.:::: . . ..... . ........:....:.. .: . . . . Har�zantal.D t . .. .. .... ... . .. . ... .. ..... . . . . ... ... . . ... .... . ... . . . .. ... Flow/ . .. UTM...... . ...:.�.:�UTM.Eastln .: .:.:::.... .: . . .... . .. .... .:..:. . ..: .::..... . .. ..... . . . . . ..... ....... . . . .. . ..... .. .or........ ...�:�TTM�Narth�ri .or: :�:�.°::°Ivletti�� :� :� :: :.....:�::.,..;:.,...... ::.....: ;.: . ...... ........He2 ht.Above..•..: : .:..: Rate . ............ : ... ..... . .. ..... ::.. . :.. . ... . ....:.. . ..... ..... ... .....:... .. ......:. . ..........g:.......:...: .....:.. :.:....... ........ ....g: .:..... ..... adof.Collectxan far:Locat�an.: ....... . .:....... ..... ..... .::..........�.. :.: .............�.: .: . o ... .... Vetoc :::Moisture.�. . :. Stack .. . .. . ...Elevate . . ...� :......:.... ... .. . ..........:.......... ...: ...:.... . . .. .... :..:... .....P... .. ... ....... . . .. ....:....::� �:..�...:. .:... 83 ��..,. : :Zone. . . . . . ... . . .. .. .. . . . ... .. . ... . . .... . .. .. . . . .. .. .. .. .. ... ... .... .... . ... .. .. . .. . . ... . . ..... ... , .... . . . . ..... ..Lan etude . . .. .. ...:.........:. .. .. .. ... .. ... .... .. .. ... .. ....Ground.Level. ..... ..... ... ............ ... .... . .... . . ... . . ... ... ....... ..... .. .... .. ..... . .. .... ..... .: ... ......... .. ...... .... .... ....... ... ... ... .g . .... Data.. e. ..m .GPS'�..4: ::: ::..':: ID.No...... ... ....:.. feet . .. ... . ......... .... . ... .... .. .:.. ..:.. .... ter .:. .... .: .... .. )..:... :....:....::...... . :....:.. ....::.�:. :.:...:...::.:.:::.:::::f::.::.......:...:: ... . . .. ......::�.�:::� .�:..(12or.13)�:�,�. :�: �::(rneters:or.:de ees� �.:.:: ::::�.�. naeters:.ar.:de ees .�::: :�s:.. .�::�:.:�:: :.::.:.�.�:�:;:;:�. . . ....... ...... .....:......:...... :...: ... :... feet :... .......... . .. ......... ..... . . .... .. .. ..... ... . ..... ..... ........ .. . ...... ... .. ... ........ ..... . :.. ... .. . .. .... . . . . . ... . ..:. .........:.... . ....� .} . (. . .Goo IeEarth :::: : .:::..:.:.:. .��: 002 5051 12 750 700 13 NAD83 13 548586 4914054 Google Earth Direction of stack outlet (check one): 0 Vertical ❑ Vertical with obstructing raincap ❑ Horizontal ❑ Down O Other (Describe): Exhaust Opening Shape & Size (check one): M Circular: Inner Diameter (inches) = 8 ❑ Other: Length (inches) = Width (inches) = Section 06 — Fuel Data and Throughput Information Data Year (e.g. 2013) : 1 ones: � �.,:..::. Fuei::Use: . . ... .::..:..:::. ::.:...... .�.:�.::,.�.�.::........:.::�.....:......:.:.:........ ...... ...:....... .. :....... ..... . ... .. . .....................:.. . ..:..... ..�:�... ......:..:..:::�::. :::::: °::�.::;. ' .... .. .. ..... . .. ......... ........:.. .... ... ... ........... . ....... .. ... :...... ....:.:.... :......... .. . . .......... :..... ... ... ...... . . .. .. .. .........:...:........:. .. ..............:........ .. . ............. ..:. • EielHest::Va[i ;: :Bu/':al: ° . . . .... ...... . .. . ...... .. .... ...... ..... ........... Actual.(specify fY ) ... . ....... :..... .. ........... . ....... Re �zested: s : :::::•:.:• .:.:• •::.::::•: • •:::.::.:::•:: ::••.: : •:::::. .::: : °::::::: .::.:: 27. 5 147,000 Section 07 — Emissions Inventory Information Complete this section based on the throughput information supplied in Section 06. Attach a copy of the corresponding emission calculations and emission factor documentation to this APEN form. ... :.::::?.::...:::...:......::::::: :r.:. ::::: .. ::::.::.:::.:. :.....:....:............. ::::::::: ::Actual at :. .....:.. .......:......... �.. .. �::.... �.::::...�.�..:..:�.�:�::�::.: .�:...........::� U a Yea .. . . . . . Ern ss�c�ns . . .. . . ::.......::... ......:: . : :.. .. steel Err►iss� :: .:..::::: ::.::::..::: ::: :::: :: . ;.;:::::.:::..:::: : . :::: . . .. so �.:. :. . . . .:�:�.��..::.�: :�....:..::::::�:::.�:::�::�:.....:........::.. .:. .:... ..:.... ....... .. .. . � . . . ... .... ...... . . . ......Emasion.Factor. n Factors a .. . . ... . .. . .. . . . . .. . .. ... . . ... . . ... ........ .. ....:..: .:........ ... . . . . .. . .. .. . �..:� �..:.:::�..:::..::::.:...::... .... . . Units ::.:..:.:.:: :.::::: . ::.:::....:.::.. ......:............. .... .. ... . ::: . . . tons ... . . . ..:...................::: . : :.:...........:.:::..:�:.:.::.:::..:...:�..:... .........�:::.:.::.,:.....:::.:.....:.......:......:................ ..... . tear ... ....... . .... ... ......... . . . .. . . . . .. . .. ... . . . . .... . .. . ... . . . ... ....... ........ .:...... ... .............. ...:...,....... ......:.. . . .. ..... ... ......... ......... ..... . .. . .. .. ... ..::....:..,............:.....::.....:. tans Y ). .. . .... /. :ear. :..::.....:...:::..:.::...:...:.::...:....::..:.::.:::....::.::..:...:::.:..:::::::::...:�::..::::::.:.::.�.:::::. .Mf ��:��A:P-42•:: . ,:,:::�:�:::�:::::::.:.::::.::::::.::.>::....... � ��.. . .. . . ..... .. :..:..................:....:..:.....::...(.. .. ..y......).::.........::.....:...:....:::.........::.::.::.:.:.�::...::.:.::.::.:.::. �.::.::.:.::::..:::::.:.:.::::.:::::::.:::.{..::....gs:..:....:.:::::....,:.etc):...::::::::.:..::�.:::::...::.::.:::.::�;::.::.::::..:.;.:::::.:�:.:.::::.. PM 0.4 g/hp-hr 0. 1 EPA Tier !I ! PM10 0.4 g/hp-hr — ---- 0. 1 EPA Tier III , P1141.5 0.4 g/hp-hr - _ 0. 1 EPA Tier III SO, 0.0015 Ib/MMBTU 0.001 AP-42 - -- — - -- - - NOx 6.9 g/hp-hr 1 .71 EPA Tier III VOC 1 .0 g/hp-hr 0.25 EPA Tier III _ Co 8.5 ----�� g/hp-hr 2.10 EPA Tier III t You may be charged an additional APEN fee if APEN is filled out incorrectly or missing information and requires re-submittal 2Annual emission fees will be based on actual emissions reported here. Check box to request copy of draft permit prior to issuance. Section 08 -- leant Certification - I hereby certify that all information contained herein and information submitted with this application is complete, true and correct. If this is a regis 10 or verage n r general permit GP06, I further certify that this source is and will be operated in full compliance with each condition of general permit GP06. �` *i; ôisJ . Randy Bruce VP Q erations • P e o :Person,L :.....:......... :::.:::.:;::::..:.... ...::.::::::::.:::....:....:.:....:...::::::.:::.. e all Anthonzedao:Su 1 Data.:.:::.:::: ... g X....... . ......... . .. Date ........ . .. . . .. . . .. .. . .. Name.of:Le a:.........PP Y Il :Authorazed.Person: .P.lease: g y.. :......................:C.....:. ..............: .. .::. : :.::..:. Tale: ::.....:..:... .:::......:.. :.....:...:.::...: ...:...::.........::.:::::: r FORM APCD-213 Page 2 of 2 APEN- Diesel Engine-11 . 12. 14 A CDPHE COLORADO 'j CO `i Air Pollution Control Division Department of Public Health & Environment Dedicated to protecting and improving the health and environment of the people of Colorado New Source Performance Standards (NSPS) - 40 CFR Part 60, Subpart IIII Applicability Air Pollutant Emission Notice (APEN) Addendum Form for Diesel Engines Company Name: Blue Grama Land Corporation Engine Information' Make: TBD Model: SN: 1 . Date of Engine Manufacture: 2. Has this engine operated outside of the state of Colorado? O Yes No 3. If you answered "Yes" to question 2, please answer the following question. (If you answered "No" to question 2, please leave this field blank.) What is the date of first entry into Colorado? 4. This engine was manufactured to meet the following tier level standards' (e.g., Tier 1 , Tier 2): Permit #3: AIRS ID': / / A copy of this form, along with appropriate supporting documentation', shall be maintained on-site or at a local field office, with stationary source responsibility, with a copy of the construction permit, exemption letter or general permit approval letter issued by the Colorado Air Pollution Control Division (the Division) for this emissions source. These records may be kept in either electronic or hard copy format provided that they can be promptly supplied to the Division or agents thereof upon request. This engine shall comply with the New Source Performance Standards (NSPS) requirements of Colorado Air Quality Control Commission Regulation No. 6, Part A, Subpart IIII, Standards of Performance for Stationary Compression Ignition Internal Combustion Engines (CI ICE) including, but not limited to, the following: [The requirements below reflect the rule language of 40 CFR Part 60 Subpart IIII published in the Federal Register on 01 /30/2013. However, if revisions to this Subpart are published at a later date, the owner or operator is subject to the requirements contained in the revised version of 40 CFR Part 60, Subpart IIII.] I. All fuel used shall meet the following specifications: A. Sulfur content shall not exceed 15 ppm B. Have a minimum cetane index of 40 or have a maximum aromatic compound content of 35% by volume C. Compliance shall be demonstrated by maintaining copies of the fuel specifications provided by the supplier on-site or in a readily accessible location and made available to the Division for inspection upon request. II. The engine and control devices must be installed, configured, operated and maintained according to the specifications and instructions provided by the engine manufacturer. III. If the engine is equipped with a diesel particulate filter, the filter must be installed with a backpressure monitor that notifies the owner or operator when the high backpressure limit of the engine is approached. Records shall be kept of any corrective action taken after the backpressure monitor has notified the owner or operator that the high backpressure limit is approached. IV. If the engine is used for emergency purposes, a non-resettable hour meter must be installed prior to start-up. V. If the diesel fuel-fired engine referenced herein avoids tier 4 or 4i requirements by being an emergency generator, the engine shall not be used for any purpose except emergency power generation and for the purpose of maintenance o 4300 Cherry Creek Drive S., Denver, CO 80246-1530 P 303-692-2000 www.colorado.gov/cdphe • co c t T 4M , , y "cm. o John W. Hickenlooper, Governor I Larry Wolk, MD, MSPH, Executive Director and Chief Medical Officer * ` o oo L.A. * , ' 1876 * FORM APCD-214 Page 1 of 2 Version 2015-06-15 checks and readiness testing, provided that the tests are recommended by Federal, State or local government, the manufacturer, the vendor or the insurance company associated with the engine. Maintenance checks and readiness testing of such units is limited to 100 hours per year. There is no time Limit on the use of emergency stationary ICE in emergency situations. The owner or operator may petition the Administrator for approval of additional hours to be used for maintenance checks and readiness testing, but a petition is not required if the owner or operator maintains records indicating that Federal, State, or local standards require maintenance and testing of emergency ICE beyond 100 hours per year. Emergency stationary ICE may operate up to 50 hours per year in non-emergency situations, but those 50 hours are counted towards the 100 hours per year provided for maintenance and testing. The 50 hours per year for non-emergency situations cannot be used for peak shaving or to generate income for a facility to supply power to an electric grid or otherwise supply non-emergency power as part of a financial arrangement with another entity. For owners and operators of emergency engines, any operation other than emergency operation, maintenance and testing, and operation in non-emergency situations for 50 hours per year, as permitted in this section, is prohibited. VI. Emission Standards: A. The engine referenced herein shall meet all the emissions standards applicable to the engine. B. Compliance with the NSPS Subpart Jill Emissions Standards for Non-Methane Hydrocarbons (NMHC), Nitrogen Oxides (NOx), Carbon Monoxide (CO) and Particulate Matter (PM) shall be demonstrated by filing a copy of the unit's certification documentation of compliance with the NSPS Subpart IIII emissions standards, with the associated application. VII. The following requirements of Regulation No. 6, Part A, Subpart A, General Provisions, shall apply: A. At all times, including periods of start-up, shutdown, and malfunction, the engine and control equipment shall, to the extent practicable, be maintained and operated in a manner consistent with good air pollution control practices for minimizing emissions. Determination of whether or not acceptable operating and maintenance procedures are being used will be based on information available to the Division, which may include, but is not limited to, monitoring results, opacity observations, review of operating and maintenance procedures, and inspection of the source. (Reference: Regulation No. 6, Part A. General Provisions from 40 CFR 60.11 ) B. No article, machine, equipment or process shall be used to conceal an emission which would otherwise constitute a violation of an applicable standard. Such concealment includes, but is not limited to, the use of gaseous diluents to achieve compliance with an opacity standard or with a standard which is based on the concentration of a pollutant in the gases discharged to the atmosphere. (§ 60. 12) C. Written notification of construction and initial startup dates shall be submitted to the Division as required under § 60.7. D. Records of startups, shutdowns, and malfunctions shall be maintained, as required under § 60.7. VIII. This engine meets all the requirements in New Source Performance Standard (NSPS) Subpart IIII as applicable to the specific engine, including the standards required for relocating into Colorado as set forth in Regulation No. 6, Part B, Section I.C. I hereby certify that all information contained herein is complete, true and correct. I certify that this source is and will be operated in full compliance with the applicable tier standards of Colorado Air Quality Control Commission Regulation No. 6, Part A, Subpart IIII, Standards of Performance for Stationary Compression Ignition Internal Combustion Engines (CI ICE) as well as all other requirements referenced herein. J . Randy Bruce VP , Operations Name of Legally Authorized Person (Please Print) Title anzial—020/52. ign. Lire of Legally Authorized Person Date If the engine has not been selected or ordered as of the date of submission of the construction permit application, this form must be completed and submitted to the Colorado Air Pollution Control Division, for an affected engine, within one hundred and eighty (180}days after the commencement of construction/operation. 2 This information can be obtained from the engine manufacturer. 3 Please enter this information if this form is being submitted after the date of submission of the construction permit application and a permit number and AIRS ID number have been assigned. Otherwise, leave these fields blank. 4 Supporting documentation includes: documents) proving the date of first entry into Colorado (purchase receipt, delivery receipt, etc.) and tier standard certification information from the manufacturer, as applicable. FORM APCD-214 Page 2 of 2 Version 2015-06-15 Form APCD-304 .0f.c c Colorado Department of Public Health and Environment N ie Air Pollution Control Division • 1a76 � Colorado Department of Public Health Operating and Maintenance Plan Template forand Environment Condensate and Mixed Liquid Storage Tanks Ver. September 19, 2013 The Air Pollution Control Division (Division) developed this Operating and Maintenance Plan (O&M Plan) for condensate and mixed liquid storage tanks permitted at synthetic minor facilities in the State of Colorado. An O&M Plan shall be submitted with the permit application. One O&M Plan may be used for multiple tanks at one facility if each are controlled and monitored in the same manner. If the O&M Plan template is completed correctly, the Division will approve the O&M Plan and a construction permit will be issued with the requirement to follow the O&M Plan as submitted. If the template is not completed correctly, the Division will work with the facility to make corrections. Once a construction permit is issued, the facility operator must comply with the requirements of the O&M Plan upon commencement of operation. Operators are not required to use this template. Independent case specific O&M Plans may be developed and submitted for approval with the permit application. However, the Division encourages the use of this template to expedite the permit application approval process. Submittal Date: August 4, 2015 Section 1 - Source Identification For new permits some of this information (i.e. Facility AIRS ID, Facility Equipment ID, Permit Number, and AIRS Point ID) may not be known at the time of application. Please only fill out those fields that are known and leave the others blank. Company Name: Blue Grama Land Corporation Facility Location: Section 24, Range 63W, Township 5N Facility Name: Riverside Station Facility AIRS ID (for existing facilities) Units Covered by this O&M form Facility Equipment ID T-951 T-952 Permit Number AIRS Point ID Tank Type a ML ML Controlled (Y/N) Y Y a Tank types include condensate (C) and mixed liquid (ML) Section 2 - Maintenance Schedules Check one of the following: Facility shall follow manufacturer recommendations for the operation and maintenance of equipment and control devices. These schedules and practices, as well as any maintenance records showing compliance with these recommendations, shall be made available to the Division upon request. Facility shall follow individually developed maintenance practices and schedules for the operation and maintenance of equipment and control devices. These schedules and practices, as well as any maintenance records showing compliance with these recommendations, shall be made available to the division upon request and should be consistent with good air pollution control practices for minimizing emissions as defined in the New Source Performance Standard (NSPS) general conditions. Page 1 of 4 AP_Fonn-APCD-304-Condensate-and-Mixed-Liquid-Storage-Tanks.doc Colorado Department of Public Health and Environment Air Pollution Control Division Section 3 - Monthly Emission Modeling or Calculations The following box must be checked for O&NI plan to be considered complete. The source will calculate emissions based on the methods and emission factors provided in the permit application and approved by the division, as reflected in the construction permit. Please see the operation and maintenance plan guidance document,for,further details and examples of emission calculations. Section 4 — General Monitoring Requirements All condensate collection, storage, processing and handling operations, regardless of size, shall be designed, operated and maintained to minimize leakage of volatile organic compounds to the atmosphere to the maximum extent practicable. Table 1 below details the schedule on which the source must monitor each of the listed operating parameters depending on the requested permitted emissions at the facility. Check the appropriate box based on the facility wide permitted VOC emissions. Table 1 Monitorin Frequency Parameter Permitted Facility Permitted Facility Emissions ≥ 80 t VOC Emissions < 80 t VOC Condensate Throughput Monthly Monthly Separator Temperature (if present) Weekly Monthly Separator Pressure (if present) Weekly Monthly Table 2 outlines condensate and mixed liquid throughput monitoring methods. The source must chose one primary monitoring method and, optionally, may chose up to two backup methods. Check each box that applies. Table 2 Primary Back-up Condensate or Mixed Liquid Throughput Monitoring Method Inlet meter(s) Tank level measurements which take into account all additions and loadout activity Sales or haul tickets Other (to be approved by the division): attach method explanation and sample calculations Section 5 - Emission Control or Recycling Equipment Monitoring Requirements If a control device is used then leakage of VOCs to the atmosphere must be minimized as follows: Li Thief hatch seals shall be inspected for integrity annually and replaced as necessary; Li Thief hatch covers shall be weighted and properly seated; ❑ Pressure relief valves (PRV) shall be inspected annually for proper operation and replaced as necessary; ❑ PRVs shall be set to release at a pressure that will ensure flashing, working and breathing losses (as applicable) are routed to the control device under normal operating conditions; ❑ Annual inspections shall be documented with an indication of status, a description of any problems found, and their resolution. Page 2 of 4 AP_Fonn-APCD-304-Condensate-and-Mixed-Liquid-Storage-Tanks.doc Colorado Department of Public Health and Environment Air Pollution Control Division Table 3 below details the monitoring frequency for control equipment depending on the type of control equipment used and the requested permitted emissions at the facility. Check the appropriate box for "Monitoring Frequency" based on the facility-wide permitted VOC emissions. In addition, indicate storage tank emissions controls by checking the appropriate boxes. Table 3 _ Monitoring Frequency Emissions Control _ or Parameter Permitted Facility Permitted Facility Recycling Method Emissions Emissions ≥ 80 tpy VOC < 80 tpy VOC Thermal Oxidizer Combustion Chamber Daily Weekly Temperature Pilot Light Monitoring C Daily Weekly Combustor or Flare Method 22 Readings Daily Weekly Recycled or Closed Loop System (Including To be determined by the source and approved by the division Vapor Recovery Units) Re-routed to Reboiler To be determined by the source and approved by the division Burner b Minimum Thermal Oxidizer Combustion Chamber Temperature If the facility uses a thermal oxidizer to control emissions then the minimum combustion chamber temperature shall be: Select one of the following options from Table 4: Table 4 1400 ° F F Based on manufacturer specifications. Specifications must be submitted with the permit application and made available to the Division upon request Based on testing performed. The test data shall be submitted and attached to the O&M Plan Pilot Light Monitoring Options If the facility uses a Combustor or Flare then the source must indicate the method by which the presence of a pilot light will be monitored in Table 5. One primary method for Pilot Light Monitoring must be checked and, optionally, up to two backup methods may be checked. "Table 5 Primary Back-up Monitoring Method Visual Inspection Optical Sensor Auto-Igniter Signal Thermocouple d Recycled or Closed Loop System Monitoring Plan In the space provided below please provide a brief description of the emission control or recycling system, including an explanation of how the system design ensures that emissions are being routed to the appropriate system at all times, or during all permitted runtime. Page 3 of 4 AP_Fonn-APCD-304-Condensate-and-Mixed-Liquid-Storage-Tanks.doc Colorado Department of Public Health and Environment Air Pollution Control Division Reboiler Burner Control Monitoring Plan In the space provided below please provide a brief description of the emission control system, including an explanation of how the system design ensures that emissions are being held or rerouted when the reboiler is not firing. Not Applicable Section 6 — Recordkeeping Requirements The following box must be checked for O&M plan to be considered complete. Synthetic minor sources are required to maintain maintenance and monitoring records for the requirements listed in ►l sections 2, 3, 4 and 5 for a period of 5 years. If an applicable Federal NSPS, NESHAP or MACT requires a longer record retention period the operator must comply with the longest record retention requirement. Section 7 - Additional Notes and O&M Activities Please use this section to describe any additional notes or operation and maintenance activities. Tanks will be inspected and maintained per the requirements of 40 CFR Part 60, Subpart Kb, Standards of Performance for Volatile Organic Liquid Storage Vessels (Including Petroleum Liquid Storage Vessels) for Which Construction, Reconstruction, or Modification Commenced after July 23, 1984 Note: These templates are intended to address operation and maintenance requirements of the State of Colorado for equipment operated at synthetic minor facilities. If the facility or equipment is subject to other state or federal regulations with duplicative requirements, the source shall follow the most stringent regulatory requirement Page 4 of 4 AP_Fonn-APCD-304-Condensate-and-Mixed-Liquid-Storage-Tanks.doc Colorado Department of Public Health and Environment Page 1 of 3 Air Pollution Control Division Stationary Sources Program Supplement to Air Pollutant Emission Notice (APEN) for Storage Tanks Note: Please complete one supplement for each tank containing liquids. Permit Number AIRS Number 001 Company Name: Blue Grama Land Corporation Tank Location: Riverside Station County: Weld Person to Contact: Lance King Phone Number: (405) 200-1254 Contact Title: Director, ROW & Environemtal Fax Number: August 4, 2015 Signature of Responsible Official (not a vendor or consultant) Date J. Randy Bruce VP, Operations Name of Responsible Official (Please Print) Title Section 1 Tank Information Tank Identification: Tank Installation Date: Tank Type: (Check all that apply) Roof Type: (Check one) ❑ Pressurized ❑ Fixed Roof ❑ Open Top ® Internal Floating Roof ❑ Roofed ❑ External Floating Roof ❑ Horizontal Domed External Floating Roof ❑ Vertical Tank Dimensions Shell Length / Height: 38 Feet Shell Diameter: 40 Feet Maximum Liquid Height: 34 Feet (Vertical Tanks Only) Average Liquid Height: 17 Feet (Vertical Tanks Only) Tank Capacity: 399,000 Gallons Tank Turnovers Per Year: 365 Tank Throughput: 145,635,000 Gallons Per Year (Equal To Capacity x Turnovers) Is the Tank Heated? No Is the Tank Underground? No Breather Vent Settings Vacuum Setting N/A psig Pressure Setting N/A psig Tank Emissions Vent To ® Atmosphere ❑ Flare ❑ Condenser ❑ Other: Revised July 2001 http://www.cdphe.state.co.us/ap/stationary.html Colorado Department of Public Health and Environment Page 2 of 3 Air Pollution Control Division Stationary Sources Program Tank ID T-50-220, T-50-221 Section 2 Fixed Roof Characteristics Shell Color / Shade (Check one) Roof Color / Shade (Check one) ❑ White 0 White ❑ Aluminum Specular (Shiny Finish) 0 Aluminum Specular (Shiny Finish) ❑ Aluminum Diffuse (Flat Finish) 0 Aluminum Diffuse (Flat Finish) ❑ Light Gray 0 Light Gray ❑ Medium Gray 0 Medium Gray ❑ Red 0 Red El Other: Tan ® Other: Tan Shell Condition: Good Roof Paint Condition: Good Roof Type: Supported Cone / Dome Height: 0.06 Feet Section 3 Floating Roof Characteristics External Shell Color / Shade (Check one) Roof Color / Shade (Check one) ❑ White ❑ White ❑ Aluminum Specular (Shiny Finish) ❑ Aluminum Specular (Shiny Finish) ❑ Aluminum Diffuse (Flat Finish) ❑ Aluminum Diffuse (Flat Finish) ❑ Light Gray ❑ Light Gray ❑ Medium Gray ❑ Medium Gray ❑ Red ❑ Red ® Other: Z Other: Tan (used Med Gray) External Shell Condition Good Internal Shell Condition: (Check one) ® Light Rust Roof Paint Condition: Good ❑ Dense Rust ❑ Gunite Lining Rim Seal System: Primary Seal (Check one) Secondary Seal (Check one) ® Mechanical Shoe 0 Weather Shield ❑ Liquid-Mounted 0 Rim-Mounted ❑ Vapor-Mounted ® None Deck Type: Welded Revised July 2001 http://www.cdphe.state.co.us/ap/stationary.html Colorado Department of Public Health and Environment Page 3 of 3 Air Pollution Control Division Stationary Sources Program Tank ID T-50-220, T-50-221 Section 4 Meteorological Data Nearest City (Check one) ❑ Colorado — Alamosa ❑ Colorado — Colorado Springs ® Colorado — Denver ❑ Colorado — Grand Junction ❑ Colorado — Pueblo ❑ Kansas — Goodland ❑ Nebraska — Scotts Bluff ❑ Wyoming - Cheyenne Section 5 Tank Contents Product Type: ® Single Component Liquid ❑ Multi-Component Liquid Product Stored*: Condensate Product Density: 5.6 Pounds per Gallon Product Vapor Pressure: 12.0 RVP, or psia at ° F For Solutions: Name of Solvent*: Name of Solute Dissolved*: Concentration of Material Dissolved % By Weight, or % By Volume * Note: Please attach Material Safety Data Sheets (MSDS) for the uncommon materials. Additional Comments TANKS 4.09d output attached. Revised July 2001 http://www.cdphe.state.co.us/ap/stationary.html ri- cirSt ENVIRONMENTAL EXCELLENCE APPENDIX C Detailed Emission Calculations Table C -1 Emissions Summary Blue Grama Land Corporation Riverside Station AIRS ID EUG VOC NO;( CO Description lb/hr TPY lb/hr TPY lb/hr TPY 001 Storage Tanks 1 . 18 5. 18 002 Emergency Generator 0.99 0.25 6.83 1 .71 8.41 2. 10 r TOTAL (Including HAPS) 2.17 5.43 6.83 1 .71 8.41 2. 10 Total HAP Emissions 0.14 0.62 Note: The emergency generator will also emit 0. 1 TPY of PM1012.5 and 0.001 tpy of SO2 Table C -2 Tank Emissions Blue Grama Land Corporation Riverside Station AIRS ID Tank ID Capacity Throughput Total VOC Emissions Hexane Benzene Toluene Ethylbenzene Xylene (bbl) (bbl/yr) (Ib/yr) TPY (lb/yr) (Ib/yr) (Ib/yr) (Ib/yr) (Ib/yr) 001 T-951 9,500 3,467,500 5,065.69 2.53 301 .00 45. 16 151 .89 23.08 86.68 T-952 9,500 3,467,500 5,065.69 2.53 301 .00 45. 16 151 .89 23.08 86.68 Landings 0. 11 13.57 2.04 6.85 1 .04 3.91 Totals (bbl/yr or TPY) 6,935,000 5.18 615.57 92.36 310.63 47.20 177.27 HAPS TPY 0.62 0.31 0.05 0.16 0.02 0.09 1 Emissions of speciated coumpounds apportioned from TANKS 4.09d output. Grand Mesa Pipeline, LLC Trinity Services and Consulting Lucerne Station C-1 Project Number 0214P018 Table C-3 Landing Losses (9, 500-bbl Tanks) Blue Grama Land Corporation Riverside Station Description Variable Value Comment T (deg F) 52.33 Average temperature below the roof T (Kelvin) 284.29 Annual average liquid surface temperature obtained from TANKS output. Bismark, ND T (Rankine) 512 True Vapor Pressure P (psia) 8.4700 Based on TANKS data Atmospheric pressure at tank location Pa (psia) 12. 12 Based on TANKS data (Bismark, ND) Ideal Gas Constant R (psia ft3/Ib-mol R) 10.731 Constant Stock vapor molecular weight My (Ib/Ibmol) 57 Based on TANKS data Stock liquid density W, (lb/gal) 7. 1 Based on TANKS data Tank Diameter D (ft) 40 Height of vapor space under floating roof by (ft) 3.5 Volume of vapor space Vv (ft3) 4398 Equation 1 -3 Filling Saturation Factor S 0. 150 Equation 2-26, drain dry Clingage Loss Lc (Ib) 56.21 Equation 2-22 Max. Standing idle loss La Max (lb) 231 .9 Equation 2-24 Standing Loss La (Ib) 56.2 Lesser of 2-22 and 2-24 Fill loss during landing LFL(Ib) 58.0 Equation 2-26 Total Event Emissions (►bs) 114.18 Standing, Fill or Both? Scenario Both Number of Events per Year 2 Assumes 1 event/year per tank Total VOC Emissions (Ibs/yr) 228.4 Total VOC Emissions (TPY) 0.11 Notes: 1 . Wt% based upon TANKS data and quality reports for crude oil and condensate. 2. Equations from AP-42 Chapter 7 (11/06) Table C-4 Emergency Generator Emissions Blue Grama Land Corporation Riverside Station EUG ID No. EmGen Engine Make/Model TBD Control Device (none) Nameplate Horse Power 449 HP Fuel Consumption 27.5 gph Annual Operating Hours' 500 hours NOx Factor2 6.9 g/hp-hr CO Factor2 8.5 g/hp-hr NMNEHC (VOC) Factor2 1 .0 g/hp-hr Formaldehyde3 0.00118 Ib/MMBTU PM10/2 5 Factor2 0.4 g/hp-hr SO2 Factor' 0.0015 Ib/MMBTU Pollutant lb/hr tpy NOx 6.83 1 .71 CO 8.41 2. 10 VOC 0.99 0.25 Formaldehyde 0.005 0.001 PM2.5 0.40 0. 10 SO2 0.006 0.001 Notes: 1 . Annual Emissions are based on 500 hours per year of operation. 2. Emissions factors based on EPA Tier 3, nonroad requirements. 3. AP-42 Table 3.3-2. 3. AP-42 Table 3.3-1 based on 15 ppm fuel sulfur content. Table C-5 Fugitive Emissions Blue Grama Land Corporation Riverside Station VOC Number of Lb/hr per VOC Emissions Emissions Component Components Components' (lb/hr) (tpy) Screwed Connectors 145 0.00002134 0.003 0.014 Flanges 150 0.00000528 0.001 0.003 Open-ended Lines 4 0.0000308 0.000 0.001 Pumps 8 0.001122 0.009 0.039 Valves 75 0.000033 0.002 0.011 Other2 45 0.000242 0.011 0.048 Total Fugitives 0.026 0.12 Notes: (1 ) Emissions Factors from "Table 2-8 Oil and Gas Screening Ranges Emission Factors - Protocol for Equipment Leak Emission Estimates" (EPA 453/R95-017). Table C -6 Hazardous Air Pollutant Speciation Data Blue Grama Land Corporation Riverside Station ISpeciation Profile Wt % 1 .5 Confidence Interval Benzene 0.8558 1 .284 Ethylbenzene 0.5023 0.753 Toluene 3.2065 4.810 Xylene 1 .8902 2.835 Isooctane 0.6131 . 0.920 n-Hexane 5.22 7.830 TANKS 4.0 Report TANKS 4.O.9d Emissions Report - Summary Format Tank Indentification and Physical Characteristics Identification User Identification: Any Riverside IFR City: Kersey State: Colorado Company: Blue Grama Land Corporation Type of Tank: Internal Floating Roof Tank Description: 9,500-bbl IFR Tank Tank Dimensions Diameter (ft): 40.00 Volume (gallons): 399,000.00 Turnovers: 365.00 Self Supp. Roof? (y/n): Y No. of Columns: 0.00 Eff. Col. Diam. (ft): 0.00 Paint Characteristics Internal Shell Condition: Light Rust Shell Color/Shade: White/White Shell Condition Good Roof Color/Shade: White/White Roof Condition: Good Rim-Seal System Primary Seal: Mechanical Shoe Secondary Seal None Deck Characteristics Deck Fitting Category: Detail Deck Type: Welded Deck Fitting/Status Quantity Access Hatch (24-in. Diam.)/Bolted Cover, Gasketed 1 Automatic Gauge Float Well/Unbolted Cover, Gasketed 1 Roof Leg or Hanger Well/Adjustable 12 Sample Pipe or Well (24-in. Diam.)/Slit Fabric Seal 10% Open 1 Vacuum Breaker (10-in. Diam.)/Weighted Mech. Actuation, Gask. 1 Meterological Data used in Emissions Calculations: Denver, Colorado (Avg Atmospheric Pressure = 12.12 psia) summarydisplay.htm[8/4/2015 11 :07: 14 AM] TANKS 4.0 Report TANKS 4.0.9d Emissions Report - Summary Format Liquid Contents of Storage Tank Any Riverside IFR - Internal Floating Roof Tank Kersey, Colorado Liquid Daily Liquid Surf. Bulk Vapor Liquid Vapor Temperature (deg F) Temp Vapor Pressure (psia) Mol. Mass Mass Mol. Basis for Vapor Pressure Mixture/Component Month Avg. Min. Max. (deg F) Avg. Min. Max. Weight. Fract. Fract. Weight Calculations Crude/Condensate (RVP 12) All 52.33 45.43 59.23 50.23 8.4707 N/A N/A 50.0000 109.16 Option 4: RVP=12 Benzene 0.9404 N/A N/A 78.1100 0.0128 0.0031 78.11 Option 2: A=6.905, 6=1211.033, C=220.79 Ethylbenzene 0.0827 N/A N/A 106.1700 0.0075 0.0002 106.17 Option 2: A=6.975, B=1424.255, C=213.21 Hexane (-n) 1.5616 N/A N/A 86.1700 0.0783 0.0315 86.17 Option 2: A=6.876, 6=1171,17, C=224.41 Isooctane 0.4320 N/A N/A 114.2200 0.0092 0.0010 114.22 Option 1: VP50 = .387 VP60 = .58 Toluene 0.2589 N/A N/A 92.1300 0.0481 0.0032 92.13 Option 2: A=6.954, B=1344.8, C=219.48 Unidentified Components 10.6099 N/A N/A 49.1434 0.8157 0.9605 114.13 Xylene (-m) 0.0687 N/A N/A 106.1700 0.0284 0.0005 106.17 Option 2: A=7.009, B=1462.266. C=215.11 summarydisplay.htm[8/4/2015 11 :07: 14 AM] TANKS 4.0 Report TANKS 4.0.9d Emissions Report - Summary Format Individual Tank Emission Totals Emissions Report for: Annual Any Riverside IFR - Internal Floating Roof Tank Kersey, Colorado Losses(Ibs) Components Rim Seal Loss Withdrawl Lossl Deck Fitting Loss Deck Seam Loss Total Emissions Crude/Condensate (RVP 12) 1,351.63 3,021.34 692.71 0.00 5,065.69 Toluene 4.34 145.33 2.22 0.00 151 .89 Ethylbenzene 0.22 22.75 0.11 0.00 _ 23.08] Xylene (-m) 0.68 85.66 0.35 0.00 86.68] Hexane (-n) 42.60 236.57 21 .83 0.00 301.00 Benzene 4.21 38.79 2.16 0.00 45.16 Isooctane 1.38 27.80 0.71 0.00 29.89 Unidentified Components 1,298.21 2,464.45 665.33 0.00 4,428.00 summarydisplay.htm[8/4/2015 11 :07: 14 AM] ricIrSt ENVIRONMENTAL EXCELLENCE APPENDIX D Fee Submittal THE KEY TO DOCUMENT SECURITY • HEAT ACTIVATED THUMB PRINT • ADDITIONAL. SECURITY FEATU _NCLUDED • SEE BACK FOR DETAILS Trinity SeMMices 81. Consulting = BANK OF KREMLIN ®067 8 302 N. Independence St. 500 - �_ O.BOXI97•IaEUIN,01 3753•(sa)174-2244 NOR31I ENIDBRANCH (510)234-1500 GOLTRY BRANCH(510)496-2272 Enid, OK 73703 DRUMMOND BRANCH(530)493-2235 OAKWOODBRANCRMO)2374700 MEMBER FDIC 86-804/1031 DATE AMOUNT 6738 8/12/2015 ***********305.80 PAY THE SUM OF THREE HUNDRED FIVE DOLLARS AND 80 CENTS *************************************** TO THE ORDER OF CO Dep of Public Health (CDHPE APCD-ZSS-B1 ��.�SEflg,_'2 4300 Cherry Creek Drive South Denver, CO 80246-1530 NAT R a-eah- ` `el CS lI© OO6 1 AlIU 0n° ?JO UOEI ® Lo 500 066 269 °01 � �� FROM: (405) 285-7720 SHIP DATE 13AUG15 star eII Newbold ACTWGT: 1.00 LB T • S.Services & Consultin , LLC GAD: 106833873/INET3670 609 Kelly Avenue, Suite F-3 Edmond OK 73003 BILL SENDER US TOAir Pollution Control Division CDHPE 8 4300 Cherry Creek Drive South Attn: APCD-SS-B1 DENVER CO 80246 i (US) (303) 692-3150 REF:O214PO184A RIVERSIDE GP 6&8 INV: - al ct C mro P0: m o mm ... 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RtioA COLORADO N!/ Ol4YRf 90. « w Departm of ' X8,6 Health & Environment CERTIFICATION TO DISCHARGE UNDER CDPS GENERAL PERMIT COR-0300000 STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES Certification Number: COR03O451 This Certification to Discharge specifically authorizes: Blue Grama Land Corporation to discharge stormwater from the facility identified as Riverside Unloading Facility To the waters of the State of Colorado, including, but not limited to: - South Platte River Facility Industrial Activity : Oil and gas production Facility Located at: CR 388 eastern terminus Kersey CO 80611 Weld County Latitude 40. 378611 Longitude - 104. 385 Specific Information (if applicable) : Certification is effective: 9 / 23 / 2015 Expiration Date: 6 / 30 / 2012 *ADMINISTRATIVELY CONTINUED This certification under the permit requires that specific actions be performed at designated times. The certification holder is legally obligated to comply with all terms and conditions of the permit. This certification was approved by: Lillian Gonzalez, Unit Manager Permits Section Water Quality Control Division *explanation of Admin Continued in cover letter Blue Grama Land Corporation Riverside Station USR Dust Mitigation Plan During the construction phase of the facility, water trucks will be utilized to suppress dust. The Storm Water Management Plan will be followed to mitigate soil erosion during the construction phase of the project. Traffic routes and disturbed areas will be stabilized with road base, recycled base or other aggregate materials. Recycled concrete will not be used. The internal speed limit will be less than 10 mph. Should fugitive dust be generated on site, the applicants will abate with water or chemical treatment on an as- needed basis. A Weld County grading permit will be applied for during the construction phase of the project if more than one acre of land is disturbed. In addition, a construction stormwater permit is required through the State of Colorado if more than one acres of land is disturbed. This will be acquired, if necessary, prior to the construction phase of the project. Facility Emergency Action Plan BLUE GRAMA LAND CORPORATION Riverside Station (XXX) XXX-XXXX (Ops. Manager cell phone until site has office line) 1 . Name: Riverside Station for Blue Grama Land Corporation 2 . Location : The site is located approximately 7,000' east of Weld County Road 69 and approximately 10,000' north of the intersection of Weld County Roads 69 and 50. The site is located in part of the South of half of Section 24, Township 5 North, Range 63 West of the 6th P.M., Weld County, Colorado. Latitude: 40 degrees 22'42.47" N Longitude: 104 degrees 23 ' 07.81 " W 3 . Emergency Telephone Numbers: Day Night Facility Primary: TBD TBD Fire District 911 911 Platte Valley Fire Protection District Ambulance Service Area 911 911 Weld County Paramedic Services Weld County Regional Communications Center 911 911 Other Chemtrec (Chemical transportation Emergency Center) (800) 424-9300 North Colorado Medical Center (970) 350-6000 Hawkeye Helicopters (pipeline patrol) (785) 229-7707 4. Agency Notification Non Emergency: Phone# Fire Department/District: Platte Valley (970) 353-3890 Ambulance Service Area: Weld County Paramedic Services (970) 353-5700 Law Enforcement Agency: Weld County Sheriff (970) 353-5700 Weld County Communication Center (970) 350-9600 Weld County Office of Emergency Management (970) 304-6540 5 . Surrounding Occupancies & Land Use Adjacent and in all directions: Unincorporated Weld, agricultural, rural residential 6. Personal Protective Equipment Available: Location Self-Contained breathing apparatus: Fire Department Spare compressed breathing air bottles: Fire Department Lined turnout coats and pants: Fire Department Face Shield or similar protection: On site for employees Emergency Shut Downs TBD, most likely in office Required safety glasses, steel-toed boots, hard hats, clothing, rain coats, etc. are with each employee as necessary for their position 7. Location of Emergency Equipment & Supplies: Personal emergency equipment and supplies will be located in the office. 8. Location & Types of Water Supplies: XXXXXXX 9. Transportation routes: Primary entrance will be from Weld County Road 69. The access is the secondary and emergency access point. The internal road has been designed to accommodate the needs of the Fire Protection District. 10. Action Items and Response: The top three worst case scenarios that may occur at the Facility include tank fire, gas release, or equipment fire. All employees receive Incident Command training (level 100 and 200) to prepare them for an emergency event. All employees are trained to contact 911 . 11 . Coordination with First Responder Agencies: Contact has been initiated with the Fire Protection District and it is the intent to work with them. 12. Safety and Training Review: Employees will be trained on CPR and First Aid. Annual training and continuous training sessions will be offered to employees. The training will vary with different regulations some regulated by OSHA. Each year, employees are provided with necessary information concerning the proper handling of a chemical spill or accident. This information shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when items are understood. Also, proper use of cleanup and containment tools and procedures will be demonstrated as necessary. Any new or updated information or procedures will be taught to employees immediately when applicable. Facility Manager Date Fire Dept. Official Date Weld County OEM Date From: Dou4 Myers To: FDRojas@ sbinfra.com Cc: s.vanderlinde©rimrockmidstream.com; Johnson, Anne Subject: Riverside Facility Date: Wednesday, August 26, 2015 6: 14:30 PM Mr. Ed Rojas, I have been on vacation and the Chief of the Department was filling in for me. The information is correct in regards to our water supply issues out at the 70's ranch . The Knox box would help us to make access. We use the IFC 2006 code and we see no conflicts with the site plan . I am sorry about the delay and contact us if there is anything we can help with the project. Best regards, Douglas Myers Division Chief/ Fire Marshal C.F.E.I., N.A.F.I. Platte Valley Fire Protection District 27128 County Road 53 Kersey, Colorado 80644 Station 37 # 970-353-3890 Fax 970-353-4890 Cell # 970-590-6412 dmyers@plattevalleyfire.org From: Rojas. Edward To: $SchaeferaPlatteValleyFire.org Cc: Seth Vanderlinde; Johnson, Anne Subject: Firefighting Requirements for Riverside Facility Date: Monday, August 17, 2015 3:30:32 PM Attachments: imaae003.pno Mr. Schaefer, I wanted to summarize the telephone conversation that I had with you last week regarding the Blue Grama facility to be named Riverside Pump Station. This facility will be located on 70 Ranch and will be constructed in 2016 with a planned operating date of no later than September 30, 2016. We would like your response to this email to ensure that we fully understand the firefighting requirements we discussed for the Riverside Pump Station . As you are well aware there is no water available at this location for firefighting capability therefore my understanding from our conversation is that no hydrant system or other firefighting equipment is required for this facility. In addition to crude oil truck unloading with 4 bays, we will have 2 booster pumps, a meter, a pig launcher for an outgoing 12" diameter pipeline, an electrical transformer, an electrical building, a sample building and two, 9,500 barrel crude oil storage tanks on the site. My understanding that foam chambers for the storage tanks are also not required. One requirement that you did mention is the need to install Knox boxes for fire district access. You mentioned that the owner or designated representative needs to fill out the district's form which specifies which Knox box model needs to be installed. The Knox boxes also need to be in place prior to operating the facility and checked by the Fire Protection District. In addition a key or some other system will need to be provided to allow for main truck gate access by the district. This email summarizes my understanding of what we discussed last week. Again please respond to this email regarding what I have stated above or if I have left anything out from our conversation. Contact me if you have any questions and thank you for your assistance in this matter. Ed Re*. 2, Et PipelineProject Manager S&B Infrastructure Private, LTD. 3535 Sage Road Houston, TX 77056 Main : 713-845-5401 Direct: 713-652-2264 Mobile: 832-544-4481 Email : EDRojas(Wsbinfra .com Tel: 303-792-2450 P.O. Box 630027 EUGENE G. COPPOLA P.E., PTOE Fax: 303-792-5990 Littleton, CO 80163-0027 August 25, 2015 Anne Best Johnson TetraTech RMC 1900 S . Sunset # 1 - F Longmont, CO 80501 RE : Blue Grama Riverside Facility Traffic Narrative Weld County, CO Anne : I am submitting this traffic narrative for the Blue Grama Riverside development for your use . The contents of this traffic narrative are based on discussions during the Pre- Application meeting with Weld County . Critical elements of the narrative are provided in the following sections of this letter. PROJECT OVERVIEW The site is located approximately 7,000 feet east of CR 69 and 10,000 feet north of the intersection of CR 69 and CR 50 . This facility will collect oil produced on the 70 Ranch and nearby properties. Product will then be transferred by pipeline to Cushing , Oklahoma . Initially, up to 20,000 barrels per day will arrive at the facility by truck with possible future pipeline delivery of an additional 40 ,000 barrels per day. As the pipeline system is expanded , the number of trucks visiting the Riverside facility is expected to decrease . The site will operate 24 hours per day, year round . Expected initial site traffic is outlined below : Type/Size of Vehicles Estimated Number of Round Trips per 24 hour day Large trucks 111 Employee vehicles 1 The traffic estimate is based on the volume that can be served at the proposed facility . This traffic currently uses the County Road network including CR 50, CR 69, and CR 388 to deliver oil from the 70 Ranch to various collection sites. With the Riverside facility, an estimated 90% of the above trips will now be confined to the 70 Ranch and adjacent properties . Instead of leaving and returning to the 70 Ranch these trips will be re- routed to the Riverside facility and will, for the most part, remain within the 70 Ranch . Accordingly, 100 truck trips per day will be removed from CR 50, CR 60, CR 388 and other County roadways. In summary, the Riverside facility will result in a reduction of about 100 trucks per day on CR 50, CR 69 and CR 388 and other County roadways serving this area . Accordingly, the Blue Grama Riverside facility will beneficially impact area roadway operations and is viable from a traffic engineering perspective . I trust this traffic narrative will meet your current needs . Please give me a call if you have any questions or need further assistance . Sincere) vctvutoi OWhit, Y, �,�� GEORGE , •l/r,. ' t `4•QFGIST�R •�� •A •• � • Eugene G . Coppola , P. E . , PTOE 15945 Lt: *;: •� • O - a 'NAP F C Ot ,.��``� Office: 8301 E. Prentice Avenue, Suite 120, Greenwood Village, CO 80111 7VRanch Telephone: 303-515-5800 Fax: 303-773-1176 \A Ranch Office: 25000 Weld County Road 69, Kersey, CO 80644 From: Jason VonLembke - 70 Ranch, LLC Date: November 19, 2015 RE: Water Supply for Blue Grama Site 70 Ranch recently leased a parcel of land to the Blue Grama Land Corporation. In discussions regarding the lease agreement, 70 Ranch agreed to supply 12,000 bbls of raw water to Blue Grama for the purposes of hydrotesting and dust control. The source of the water to be supplied to Blue Grama is a pond, controlled by 70 Ranch, about 1/2 mile south of the leased area. This pond has a storage capacity of 200 acre-feet and was filled during a "free river" event on the South Platte River. "Free River" conditions exist when, "there is sufficient natural supply to satisfy all water uses, whether decreed or undecreed, and State Engineer administration is unnecessary for the protection of decreed water rights." (Empire Lodge Homeowners' Ass'n v. Moyer, 39 P.3d 1139 (Colo.2001)). Water captured in a reservoir during "free river" events can be used for undecreed, industrial/commercial uses; including hydrotesting and dust control. Please feel free to contact me should you have any questions or if I can be of any assistance. Sincerely, Jason VonLembke Project Manager - 70 Ranch, LLC Jason@70Ranch.com Office: 8301 E. Prentice Avenue, Suite 120, Greenwood Village, CO 80111 7VRanch Telephone: 303-515-5800 Fax: 303-773-1176 \A Ranch Office: 25000 Weld County Road 69, Kersey, CO 80644 From: Jason VonLembke - 70 Ranch, LLC Date: November 19, 2015 RE: Water Supply for Blue Grama Site 70 Ranch recently leased a parcel of land to the Blue Grama Land Corporation. In discussions regarding the lease agreement, 70 Ranch agreed to supply 12,000 bbls of raw water to Blue Grama for the purposes of hydrotesting and dust control. The source of the water to be supplied to Blue Grama is a pond, controlled by 70 Ranch, about 1/2 mile south of the leased area. This pond has a storage capacity of 200 acre-feet and was filled during a "free river" event on the South Platte River. "Free River" conditions exist when, "there is sufficient natural supply to satisfy all water uses, whether decreed or undecreed, and State Engineer administration is unnecessary for the protection of decreed water rights." (Empire Lodge Homeowners' Ass'n v. Moyer, 39 P.3d 1139 (Colo.2001)). Water captured in a reservoir during "free river" events can be used for undecreed, industrial/commercial uses; including hydrotesting and dust control. Please feel free to contact me should you have any questions or if I can be of any assistance. Sincerely, Jason VonLembke Project Manager - 70 Ranch, LLC Jason@70Ranch.com Jennifer Petrik From: Butson, Jeff <Jeff. Butson@tetratech .com> Sent: Friday, November 06, 2015 1 :35 PM To: Jennifer Petrik Cc: Gene Coppola (trafficpe@comcast.net) (trafficpe@comcast.net); Johnson , Anne; Seth Vanderlinde (s.vanderlinde@rimrockmidstream .com); Jarrett Morrison; Lance King Subject: USR15-0062 - Traffic Clarification Jennifer, I was able to speak to Blue Grama regarding the traffic for Riverside site. This is my understanding: The plan is to have up to 11 heavy trucks, plus 1 passenger truck, enter (and leave) the site at County Road 388 each day. This is the only traffic directly attributable to the Riverside site. The discussion that was originally submitted ( 111 roundtrips) are trucks hired by the producers ( use by right), delivering to the Riverside site. These tankers are not hired by Blue Grama to deliver. It is our expectation that the 11 trucks will handle the 111 roundtrips. The 111 roundtrips are internal to the 70 Ranch site and are not on County roadways. Please let me know if you have any further questions. Thanks, Jeffrey A. Butson , P.E., CFM I Project Engineer Direct +1 (720) 864-4566 I Business +1 (303) 772-5282 I Mobile +1 (720) 891 -2965 I Jeff.Butson@tetratech.com Tetra Tech I Complex World, Clear Solutions TM 1900 S. Sunset St., Suite 1 -E, Longmont, CO 80501 I tetratech.com lL ® Please consider the environment before printing. Read More. This message, including any attachments, may include privileged, confidential and/or inside information. Any distribution or use of this communication by anyone other than the intended recipient is strictly prohibited and may be unlawful. If you are not the intended recipient, please notify the sender by replying to this message and then delete it from your system. 1 From: Ben Frissell To: Kim Ogle Subject: RE: Emailing - Water Supply Letter for Blue Grama - Nov 2015.pdf Date: Wednesday, December 02, 2015 8:32: 11 AM We do not have a problem with them using this water source for non-potable water needs. Ben Frissell Environmental Health Specialist Weld County Department of Public Health and Environment 1555 North 17th Ave, Greeley bfrissell -durley@co.weld.co. us 970-304-6415 ext. 2220 (office) 970-590-8901 (cell) Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. Original Message From : Kim Ogle Sent: Tuesday, December 01, 2015 7 : 17 AM To: Ben Frissell Subject: Emailing - Water Supply Letter for Blue Grama - Nov 2015. pdf Ben This is the applicant response to the water issue (non-potable) at the Riverside Facility USR15 -0062 Is this an adequate response, See SEO comments loaded into Accela Thanks Kim OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, Blue Grama Land Corporation is a Corporation formed or registered on 11/14/2014 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 20141693614. This certificate reflects facts established or disclosed by documents delivered to this office on paper through 06/26/2015 that have been posted, and by documents delivered to this office electronically through 06/29/2015 @ 08: 16:03. I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, authenticated, issued, delivered and communicated this official certificate at Denver, Colorado on 06/29/2015 @ 08: 16:03 pursuant to and in accordance with applicable law. This certificate is assigned Confirmation Number 9231561 . oVCOz t,t.t-3.r.t.r * .`�'.� �- I, S` a a` t-— ell" 4. .-"7 MS As O Cn t 4• M ti e ti 7t, Atti z:. , 1 l \ attar / 'fir 1 4.74 irttl �.t • ,r,t•N•lis-34 876 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************** Notice: A certificate issued electronically f from the Colorado Secretary of State's Web site is fully and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may be established by visiting the Certificate Confirmation Page of the Secretary of State's Web site, http://www.sos.state.co.us/biz/CertificateSearchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http://www.sos.state.co.us/click Business Center and select "Frequently Asked Questions. " C'ERT GS D Revised 08/20/2008 Col orado Secretary of State - Summary Page 1 of 1 • ,• ° Colorado e•-?:O1- Secretary of State • pine I 1i alp utsearc For this Record... Filing history and documents Summary Trade names Get a certificate of good standing File a form Subscribe to email Details notification - Unsubscribe from email Name 70 RANCH. L.L.C. notification Status Good Standing Formation date 11/20/2003 Business Home ID number 20031371397 Form Limited Liability Company • Business Information Jurisdiction Colorado Business Search Periodic report month November Term of duration Perpetual FAQs, Glossary and Principal office street address 8301 E. Prentice Ave.. Suite 100. GREENWOOD VILLAGE, CO 80111-1916. Information United States Principal office mailing address n/a Registered Agent Name ROBERT A. LEMBKE • Street address 8301 E. Prentice Ave., Suite 100, GREENWOOD VILLAGE, CO 80111-1916. United States Mailing address n/a Filing history and documents Trade names Get a certificate of good standing File a form Set up secure business filing Subscribe to email notification Unsubscribe from email notification Back Terms and Conditions http://www.sos.state.co.uslbizlBusi nessEntityDetai I .do?qui tB utton Desti nati on=Busi nessEnt. . . 7/8/2015 Blue Grama 9/21/2015 SURFACE LEASE AGREEMENT Riverside Station Md This Surface Lease Agreement ("Lease") is entered into and made effective this oho& day of September , 2015 by and between Terminus North, LLC, a Colorado limited liability company with an address of 8301 E. Prentice Ave., Suite 100, Greenwood Village, CO, 801 1 1 ("Terminus North") and Blue Grama Land Corporation, a Colorado Corporation having an address of 3773 Cherry Creek Drive North, Denver CO 80209 ("Blue Grama"). Terminus North and Blue Grama may be referred to individually as a "Party" and collectively as the "Parties". The subject of this Lease is the following parcel (the "Blue Grama Lease Lands" or the "Lands"): 12.8 acres, more or less, in Section 24, Township 5 North Range 63 West, 6th P.M., Weld County, more particularly described as Weld County Parcel No. 096524100003 [see Exhibit 1 -A to the Surface Use Agreement for legal description and map] . For $ 100, payment of monthly rent, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Terminus North by this Lease does grant, lease, remit and remise the Lands to Blue Grama, on the following terms: 1 . The term of this Lease shall extend for the period set forth in Section 9 of the Surface Use Agreement executed contemporaneously by Terminus North, Blue Grama, and 70 Ranch, LLC on the above date that is attached hereto as Exhibit 1 and made a part hereof as though fully set forth herein (the "Surface Use Agreement"), provided that, on the second anniversary of this lease, Blue Grama has built the Crude Oil Facility or is in the process of building said facility. 2. This Lease is granted for the purpose of allowing Blue Grama the right to apply for permits to use said premises for the purpose of erecting, installing, maintaining, operating, altering, replacing, repairing, and removing electrical meters and pump facilities, tanks, outbuildings, office space, truck loading and unloading sites, pipelines, including appurtenances thereto and for oil and gas storage in tanks, shipment by trucks and pipeline, measurement and other purposes and uses in connection therewith. Lessee shall have the right and obligation to do and perform such acts on adjacent land as may be necessary to protect Lessor's and its property in case of fire or flood and to prevent spread and loss of oil. Blue Grama shall have the use of the surface of the Lands during the term of this Lease. Blue Grama shall also have the right of ingress and egress to and from the Lands and across the adjoining lands owned by 70 Ranch, subject to the terms of the Surface Use Agreement. The monthly payment fees described in the Surface Use Agreement are rental obligations of this Lease. 3. All equipment, fixtures, and facilities placed on the Lands by Blue Grama shall be and remain the property of Blue Grama. Upon expiration of this Lease, Blue Grarna shall have a reasonable time, not to exceed One Hundred Eighty ( 180) days, in which to remove all of Blue Grama's equipment, fixtures, and facilities. Following the termination of the Lease, Blue Grama 1 Blue Grama 9/21/2015 shall restore the Lands, in conformity with the terms of the Surface Use Agreement. 4. Blue Grama shall pay the ad valorem taxes on the Lands, together with all taxes and fees assessed against any structure, material, equipment, fixtures, and facilities placed on the Lands by Blue Grama. 5. Blue Grama shall fence and maintain the Lands in accordance with the Surface Use Agreement. Any changes in roads or entrances to the Lands shall be pursuant to the Surface Use Agreement and Exhibit 1 -D attached hereto. 6. This Lease, and all of its terms and provisions shall extend to and be binding on the heirs, devisees, executors, administrators, representatives, successors and assigns of Terminus North and Blue Grama. E�E [REMAINDER OF PAGE IS INTENTIONALLY BLANK] ; R 2 :; Blue Grama 9/21/2015 This Lease is executed by Terminus North and Blue Grama as of the date of acknowledgment of their signatures, but shall be effective as of the Effective Date stated above. Terminus North, LLC Name: Title: Blue Grama Land Corporation Name: _(ff m(Xr CSO-1) Title: IA<_1azy.r 12041/4i [REMAINDER OF PAGE IS INTENTIONALLY BLANKQ 3 Blue Grama 9/21/2015 This Lease is executed by Terminus North and Blue Grama as of the date of acknowledgment of their signatures, but shall be effective as of the Effective Date stated above. Terminus North, LLC Name:T>4..4/J,• vo ,��d Title: Acts // Blue Grama Land Corporation Name: Title: jREMAINDER OF PAGE IS INTENTIONALLY BLANK] 3 Blue Grama 9/21/2015 ACKNOWLEDGEMENTS STATE OF COLORADO ) ) ss COUNTY OF ) On , 2015, before me, personally appeared Ronald E. vonlembke as Manager of Terminus North, LLC, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. My commission expires: Notary Public STATE OF OJ &homa .,) ) ss COUNTY OF DkLto±\OmcL ) On kyr ,0., 2015, before me personally appeared Jerre, M Orris it as ikuw Sri Qad of Blue Grama Land Corporation, personally known to me to be the person Whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. LA BONES Notary Public, State of Oklahoma Commission # 13000818 My Commission Expires: *-841n—a) My Commission Expires January 24, 2017 I / at+ It 1 Notary Public 4 Blue Grama 9/21/2O15 ACKNOWLEDGEMENTS STATE OF COLORADO ) ) ss COUNTY OF 0I- r v ) On S( p-FeArytt ✓ Z1- , 2015, before me, personally appeared Ronald E. vonlembke as Manager of Terminus North, LLC, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and ITNEY c official seal WHTELS NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20094031406 MY COMMISSION EXPIRES OCTOBER 26, 2017 My commission expires. 1D - 2U — Notary Public STATE OF ) ) ss COUNTY OF ) On _, 2015, before me personally appeared as of Blue Grama Land Corporation, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. My Commission Expires: Notary Public 4 Exhibit 1-A to Surface Use Agreement between 70 Ranch, LLC, Terminus North, LLC, and Blue Grama Land Corporation The Lands 12.8 acres of property situated on Section: 24-5N-63W and specifically identified in the diagram attached hereto (the "Property"). The Lands — Metes & Bounds Description TRACT "A" DESCRIPTION: ALL THAT PART OF THE SOUTHWEST QUARTER AND SOUTHEAST QUARTER OF SECTION 24, TOWNSHIP 5 NORTH, RANGE 63 WEST OF THE 6TH P.M., COUNTY OF WELD, STATE OF COLORADO, DESCRIBED AS FOLLOWS: si COMMENCING AT THE SOUTHWEST CORNER OF SAID SECTION 24; THENCE N 88° 59' 27" E, ALONG THE SOUTH LINE OF THE SW 1/4 OF SAID SECTION, A DISTANCE OF 2090.73 FEET; THENCE N 00° 41 ' 04" W, A DISTANCE OF 209.50 FEET, TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING N 00° 41 ' 04" W, A DISTANCE OF 680.39 FEET; THENCE N 89° 18' 56" E, A DISTANCE OF 514.72 FEET, TO A POINT ON THE EAST LINE OF THE SW 1/4 OF SAID SECTION; THENCE CONTINUING N 89° 18' 56" E, A DISTANCE OF 304.66 FEET; THENCE S 00° 41' 04" E, A DISTANCE OF 680.39 FEET; THENCE S 89° 18' 56" W, A DISTANCE OF 285.30 FEET, TO A POINT ON SAID EAST LINE OF SAID SW 1/4; THENCE S 89° 18' 56" W, A DISTANCE OF 534.07, TO THE TRUE POINT OF BEGINNING. 13 M.eL;ff:fON ..sttc.m'f/ srafsr / ( — — — •..r•.o•"aft ots. — — — — — ---� r-- .ireise _ — / q 1l ip i 1.141 4 )k1 ti.l PM rp.*Iliii R? ;2 �� fa $$ i �� Ajf j.:I 'A cnI� i � 4 II I I .,cu to in . 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